CMS Price Transparency Data

Physical therapy (gait training)

Facility: Cape Regional Medical Center Inc

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$57
about 2.0× the $29 Medicare rate · typically $27–$136
modeled estimate · not a bill or quote
What this hospital charges insurers
$61
About the fair price
about $4 over the fair price · 2.1× Medicare
Medicare pays $29 Fair price $57 This hospital $61 Cash price $43 Hospital's list price $190

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $15 Priciest $61

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

A fair price for a Physical therapy (gait training) is about $57 (about 2.0× the $29 Medicare rate). Cape Regional Medical Center Inc charges insurers about $61, or about $43 in cash — about the fair price. Located in Cape May Court House, NJ.

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 $122 - $163 420%
Blue Cross Blue Shieldmajor $89 - $108 306%
Aetnamajor $18 - $159 62%
Cignamajor $119 - $132 409%
Amerigroup $19 - $22 65%
AmeriHealth $114 - $133 392%
Clover Health $39 134%
+ 5 smaller / regional plans $18 - $224
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: Two Stone Harbor Blvd, Cape May Court House, NJ 08210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals