CMS Price Transparency Data
Physical therapy (gait training)
Facility: Children's Specialized Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$83
about 2.9× the $29 Medicare rate · typically $27–$474
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $83 Cash price $69 Hospital's list price $137
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 | $108 - $464 | 372% |
| Blue Cross Blue Shieldmajor | $105 - $237 | 361% |
| Aetnamajor | $105 | 361% |
| Cignamajor | $83 | 286% |
| AmeriHealth | $104 | 358% |
| Fidelis Care | $105 | 361% |
| + 2 smaller / regional plans | $93 - $107 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Children's Specialized Hospital
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.