CMS Price Transparency Data

Physical therapy (gait training)

Facility: Metrowest Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.6× the $29 Medicare rate · typically $33–$91
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
Below the fair price — a good deal
about $5 under the fair price · 1.4× Medicare
Medicare pays $29 Fair price $46 This hospital $41 Cash price $169 Hospital's list price $225

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $30 Priciest $41

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 $46 (about 1.6× the $29 Medicare rate). Metrowest Medical Center charges insurers about $41, or about $169 in cash — below the fair price — a good deal. Located in Framingham, MA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $61 - $70 210%
Health Net $20 69%
+ 1 smaller / regional plan $20
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 115 Lincoln Street, Framingham, MA 01701
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals