Physical therapy (gait training)
Facility: Penobscot Valley Hospital
Billing Code: 97116 (CPT)
Highest price of the 9 ME hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.
A fair price for a Physical therapy (gait training) is about $63 (about 2.2× the $29 Medicare rate). Penobscot Valley Hospital charges insurers about $93, or about $135 in cash — above the fair price. Located in Lincoln, ME.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $63. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $45 - $291 | 155% |
| Blue Cross Blue Shieldmajor | $46 - $172 | 158% |
| Aetnamajor | $46 - $349 | 158% |
| Cignamajor | $92 - $341 | 317% |
| Humanamajor | $46 - $169 | 158% |
| Harvard Pilgrim | $94 - $347 | 323% |
| WellCare | $46 - $169 | 158% |
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.
Other Procedures at Penobscot Valley Hospital
Compare: Physical therapy (gait training) at other ME hospitals
- Northern Maine Medical Center · Fort Kent $27
- Central Maine Medical Center · Lewiston $28
- Cary Medical Center · Caribou $28
- Mainehealth Pen Bay Hospital · Rockport $33
- Mainehealth Mid Coast Hospital · Brunswick $34
- Mainehealth Maine Medical Center · Portland $39
- Millinocket Regional Hospital · Millinocket $47
- Mainehealth Franklin Hospital · Farmington $47
Insurance negotiated median for the same procedure, sorted lowest first.