CMS Price Transparency Data

Physical therapy (gait training)

Facility: Capital Health Regional Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$60
about 2.1× the $29 Medicare rate · typically $34–$100
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
About the fair price
2.1× Medicare
Medicare pays $29 Fair price $60 This hospital $60 Cash price $118 Hospital's list price $118

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $15 Priciest $60

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

A fair price for a Physical therapy (gait training) is about $60 (about 2.1× the $29 Medicare rate). Capital Health Regional Medical Center charges insurers about $60, or about $118 in cash — about the fair price. Located in Trenton, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $4 - $368 14%
Blue Cross Blue Shieldmajor $4 - $31 14%
Aetnamajor $5 - $43 17%
Cignamajor $70 - $295 241%
Humanamajor $32 110%
Clover Health $31 107%
Fidelis Care $31 107%
+ 2 smaller / regional plans $60 - $109
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 750 Brunswick Ave, Trenton, NJ 08638
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals