CMS Price Transparency Data

Physical therapy (gait training)

Facility: Mainehealth Stephens Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$47
about 1.6× the $29 Medicare rate · typically $29–$65
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
About the fair price
about $4 over the fair price · 1.8× Medicare
Medicare pays $29 Fair price $47 This hospital $51 Cash price $188 Hospital's list price $188

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $27 Priciest $51

Black dot = this hospital, among the 9 ME 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 $47 (about 1.6× the $29 Medicare rate). Mainehealth Stephens Hospital charges insurers about $51, or about $188 in cash — about the fair price. Located in Norway, ME.

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 $33 - $180 114%
Blue Cross Blue Shieldmajor $29 - $176 100%
Aetnamajor $29 - $172 100%
Cignamajor $175 602%
Humanamajor $33 - $73 114%
Harvard Pilgrim $57 - $182 196%
WellCare $35 - $76 120%
+ 1 smaller / regional plan $60 - $179
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 181 Main Street, Norway, ME 04268
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals