CMS Price Transparency Data

Physical therapy (gait training)

Facility: Presbyterian Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.6× the $29 Medicare rate · typically $31–$58
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
1.6× Medicare
Medicare pays $29 Fair price $46 This hospital $46 Cash price $67 Hospital's list price $95

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

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

Cheapest $28 Priciest $46

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

A fair price for a Physical therapy (gait training) is about $46 (about 1.6× the $29 Medicare rate). Presbyterian Hospital charges insurers about $46, or about $67 in cash — about the fair price. Located in Albuquerque, NM.

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 $28 96%
Blue Cross Blue Shieldmajor $29 - $49 100%
Aetnamajor $29 100%
Presbyterian $39 - $86 134%

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Facility Profile & Credentials

  • Address: 1100 Central Avenue Se, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals