CMS Price Transparency Data

Physical therapy (gait training)

Facility: North Shore Medical Center -

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.5× the $29 Medicare rate · typically $31–$73
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
Below the fair price — a good deal
about $12 under the fair price · 1.1× Medicare
Medicare pays $29 Fair price $43 This hospital $31 Cash price $113 Hospital's list price $150

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 0 charge more and 4 charge less, among the 9 MA hospitals compared.

Cheapest $30 Priciest $31

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (gait training) is about $43 (about 1.5× the $29 Medicare rate). North Shore Medical Center - charges insurers about $31, or about $113 in cash — below the fair price — a good deal. Located in Salem, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $31 107%
Aetnamajor $87 299%

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 81 Highland Avenue, Salem, MA 01970
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals