CMS Price Transparency Data

Physical therapy (gait training)

Facility: Pali Momi Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.2× the $29 Medicare rate · typically $26–$43
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
About the fair price
1.2× Medicare
Medicare pays $29 Fair price $35 This hospital $35 Cash price $82 Hospital's list price $137

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Highest price of the 9 HI hospitals we have prices for — worth calling around.

Cheapest $17 Priciest $35

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $35 (about 1.2× the $29 Medicare rate). Pali Momi Medical Center charges insurers about $35, or about $82 in cash — about the fair price. Located in Aiea, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Kaiser Permanente Blue Cross Blue ShieldCignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $17 - $34 58%
Aetnamajor $116 399%
Kaiser Permanentemajor $110 379%
Devoted Health $39 134%
+ 9 smaller / regional plans $32 - $110
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 98-1079 Moanalua Road, Aiea, HI 96701
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals