CMS Price Transparency Data
Physical therapy (gait training)
Facility: Riverview Medical Center
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$84
about 2.9× the $29 Medicare rate · typically $33–$179
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $84 Cash price $37 Hospital's list price $193
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 | $39 - $382 | 134% |
| Blue Cross Blue Shieldmajor | $42 | 145% |
| Aetnamajor | $27 - $151 | 93% |
| Cignamajor | $154 - $185 | 530% |
| Amerigroup | $37 | 127% |
| AmeriHealth | $167 - $189 | 575% |
| Clover Health | $35 | 120% |
| WellCare | $224 | 771% |
| + 9 smaller / regional plans | $42 - $464 |
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Riverview 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.