CMS Price Transparency Data

Physical therapy (gait training)

Facility: Macneal Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.4× the $29 Medicare rate · typically $27–$72
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
about $4 under the fair price · 1.3× Medicare
Medicare pays $29 Fair price $42 This hospital $38 Hospital's list price $172

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $19 Priciest $38

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

A fair price for a Physical therapy (gait training) is about $42 (about 1.4× the $29 Medicare rate). Macneal Hospital charges insurers about $38 — about the fair price. Located in Berwyn, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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 $193 - $210 664%
Blue Cross Blue Shieldmajor $6 - $238 21%
Aetnamajor $28 - $137 96%
Cignamajor $56 193%
Humanamajor $158 544%
Meridian $28 96%
Molina $28 96%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3249 South Oak Park Avenue, Berwyn, IL 60402
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals