CMS Price Transparency Data
Physical therapy (gait training)
Facility: Atlantic Rehabilitation Institute, LLC
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$41
about 1.4× the $29 Medicare rate · typically $28–$90
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $41 Cash price $106 Hospital's list price $106
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 | $81 - $155 | 279% |
| Blue Cross Blue Shieldmajor | $81 - $155 | 279% |
| Aetnamajor | $81 - $155 | 279% |
| Cignamajor | $81 - $155 | 279% |
| Ambetter (Centene) | $81 - $155 | 279% |
| AmeriHealth | $81 - $155 | 279% |
| Oscar Health | $81 - $155 | 279% |
| UPMC Health Plan | $81 - $155 | 279% |
| WellCare | $81 - $155 | 279% |
| + 11 smaller / regional plans | $81 - $155 |
Government programs also on file: Medicaid.
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Other Procedures at Atlantic Rehabilitation Institute, LLC
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.