CMS Price Transparency Data
Physical therapy (gait training)
Facility: Trinitas Regional Medical Center
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$77
about 2.7× the $29 Medicare rate · typically $33–$161
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $77 Hospital's list price $230
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 | $170 - $200 | 585% |
| Blue Cross Blue Shieldmajor | $17 - $66 | 58% |
| Cignamajor | $125 - $132 | 430% |
| + 1 smaller / regional plan | $143 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Trinitas Regional Medical Center
Compare: Physical therapy (gait training) at other NJ hospitals
- St Luke's Warren Hospital · Phillipsburg $15
- The University Hospital · Newark $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
Insurance negotiated median for the same procedure, sorted lowest first.