CMS Price Transparency Data

Physical therapy (gait training)

Facility: Rush University Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.7× the $29 Medicare rate · typically $31–$160
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
about $2 under the fair price · 1.6× Medicare
Medicare pays $29 Fair price $48 This hospital $46 Cash price $72 Hospital's list price $144

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 $46

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 $48 (about 1.7× the $29 Medicare rate). Rush University Medical Center charges insurers about $46, or about $72 in cash — about the fair price. Located in Chicago, 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 $82 - $194 282%
Blue Cross Blue Shieldmajor $27 - $144 93%
Aetnamajor $31 - $144 107%
Cignamajor $30 - $144 103%
Humanamajor $144 496%
Ambetter (Centene) $40 138%
Devoted Health $144 496%
Meridian $31 - $38 107%
Molina $31 - $40 107%
WellCare $144 496%
+ 2 smaller / regional plans $38 - $153

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Facility Profile & Credentials

  • Address: 1653 West Congress Parkway, Chicago, IL 60612
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals