CMS Price Transparency Data
Physical therapy (gait training)
Facility: Shore Medical Center
Billing Code: 97116 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$59
about 2.0× the $29 Medicare rate · typically $28–$315
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $59 Hospital's list price $149
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 | $17 - $346 | 58% |
| Blue Cross Blue Shieldmajor | $23 - $35 | 79% |
| Aetnamajor | $16 - $26 | 55% |
| Cignamajor | $317 | 1091% |
| AmeriHealth | $71 - $107 | 244% |
| Fidelis Care | $17 - $26 | 58% |
| + 2 smaller / regional plans | $17 - $346 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Shore 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.