CMS Price Transparency Data
Physical therapy (gait training)
Facility: Southern Ocean Medical Center
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$71
about 2.4× the $29 Medicare rate · typically $33–$190
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $71 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.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 - $407 | 134% |
| Aetnamajor | $36 - $178 | 124% |
| Cignamajor | $154 - $185 | 530% |
| Amerigroup | $37 | 127% |
| AmeriHealth | $168 - $190 | 578% |
| Clover Health | $35 | 120% |
| WellCare | $224 | 771% |
| + 7 smaller / regional plans | $40 - $563 |
Government programs also on file: Military & VA.
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.
Other Procedures at Southern Ocean 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.