CMS Price Transparency Data

Physical therapy (gait training)

Facility: Valley Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$71
about 2.4× the $29 Medicare rate · typically $33–$190
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
Below the fair price — a good deal
about $11 under the fair price · 2.1× Medicare
Medicare pays $29 Fair price $71 This hospital $60 Cash price $89 Hospital's list price $148

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 $60

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 $71 (about 2.4× the $29 Medicare rate). Valley Hospital charges insurers about $60, or about $89 in cash — below the fair price — a good deal. Located in Paramus, NJ.

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 $26 - $583 89%
Blue Cross Blue Shieldmajor $33 114%
Aetnamajor $32 - $286 110%
Cignamajor $66 - $127 227%
Humanamajor $32 110%
AmeriHealth $82 - $158 282%
Clover Health $32 110%
+ 3 smaller / regional plans $35 - $191
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 4 Valley Health Plaza, Paramus, NJ 07652
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals