CMS Price Transparency Data

Physical therapy (gait training)

Facility: New London Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $27–$31
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $29 Fair price $30 This hospital $31 Cash price $53 Hospital's list price $115

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 2 charge more and 5 charge less, among the 9 NH hospitals compared.

Cheapest $24 Priciest $36

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

A fair price for a Physical therapy (gait training) is about $30 (about 1.0× the $29 Medicare rate). New London Hospital charges insurers about $31, or about $53 in cash — about the fair price. Located in New London, NH.

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 $29 - $90 100%
Blue Cross Blue Shieldmajor $26 - $91 89%
Aetnamajor $32 - $109 110%
Cignamajor $40 - $78 138%
Ambetter (Centene) $38 - $51 131%
AmeriHealth $23 - $59 79%
Harvard Pilgrim $34 - $82 117%
Tufts Health Plan $80 - $83 275%
WellCare $30 - $51 103%
WellSense $23 - $51 79%
+ 3 smaller / regional plans $23 - $79
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 273 County Road, New London, NH 03257
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals