Physical therapy (gait training)
Facility: Cooper University Hospital
Billing Code: 97116 (CPT)
This hospital's typical commercial price is $32 compared to the $41 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.78× fair market pricing.
One of the lower prices — 1 of 8 other NJ hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.
Note: 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 $41 (about 1.4× the $29 Medicare rate). Cooper University Hospital charges insurers about $32, or about $189 in cash — below the fair price — a good deal. Located in Camden, 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
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 | $16 - $166 | 55% |
| Aetnamajor | $33 | 114% |
| Cignamajor | $31 | 107% |
| Humanamajor | $32 | 110% |
| AmeriHealth | $31 - $103 | 107% |
| Clover Health | $32 | 110% |
| HealthPartners | $32 | 110% |
| WellCare | $34 | 117% |
| + 3 smaller / regional plans | $31 - $70 |
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 Cooper University Hospital
Compare: Physical therapy (gait training) at other NJ hospitals
- St Luke's Warren Hospital · Phillipsburg $15
- Centrastate Medical Center · Freehold $31
- St Joseph's University Medical Center Inc · Paterson $32
- Newton Medical Center · Newton $32
- Overlook Medical Center · Summit $32
- Carewell Health Medical Center · East Orange $32
- AHS Hospital Corp · Hackettstown $32
- Inspira Medical Center Vineland · Vineland $33
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Cooper University Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $81
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $81).
Self-Pay Cash Rate ($189) Beats Your Bill
Cooper University Hospital's published 45 CFR § 180 self-pay cash rate is $189 (vs. $32 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $41 Fair BaseRate ($29 Medicare)
Your bill ($222) is $181 above the denoised Fair BaseRate ($41) and 7.7× the $29 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.