CMS Price Transparency Data

Physical therapy (gait training)

Facility: Berkshire Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 1.0× the $29 Medicare rate · typically $29–$47
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $2 over the fair price · 1.1× Medicare
Medicare pays $29 Fair price $29 This hospital $31 Cash price $74 Hospital's list price $77

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.

A fair price for a Physical therapy (gait training) is about $29 (about 1.0× the $29 Medicare rate). Berkshire Medical Center charges insurers about $31, or about $74 in cash — about the fair price. Located in Pittsfield, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $30 - $67 103%
Blue Cross Blue Shieldmajor $31 - $66 107%
Aetnamajor $35 - $58 120%
Cignamajor $70 - $72 241%
CDPHP $22 - $70 76%
MVP Health Care $70 241%
Tufts Health Plan $25 - $44 86%
UniCare $50 - $59 172%
+ 14 smaller / regional plans $22 - $74
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 725 North Street, Pittsfield, MA 01201
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals