CMS Price Transparency Data

Physical therapy (gait training)

Facility: Carewell Health Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$41
about 1.4× the $29 Medicare rate · typically $32–$77
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $9 under the fair price · 1.1× Medicare
Medicare pays $29 Fair price $41 This hospital $32 Cash price $107 Hospital's list price $126

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 1 charge more and 3 charge less, among the 9 NJ hospitals compared.

Cheapest $15 Priciest $33

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

⚠ 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). Carewell Health Medical Center charges insurers about $32, or about $107 in cash — below the fair price — a good deal. Located in East Orange, NJ.

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✓ Aetna CignaHumanaKaiser 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 $21 - $106 72%
Blue Cross Blue Shieldmajor $73 251%
Aetnamajor $24 - $107 83%
Amerigroup $22 76%
Clover Health $32 110%
MagnaCare $82 282%
WellCare $21 - $32 72%
+ 2 smaller / regional plans $32 - $100

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.

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Facility Profile & Credentials

  • Address: 300 Central Ave, East Orange, NJ 07018
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals