CMS Price Transparency Data

Physical therapy (gait training)

Facility: Jamaica Hospital Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$46
about 1.6× the $29 Medicare rate · typically $29–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $12 under the fair price · 1.2× Medicare
Medicare pays $29 Fair price $46 This hospital $34 Cash price $71 Hospital's list price $71

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $27 Priciest $34

Black dot = this hospital, among the 9 NY 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). Jamaica Hospital Medical Center charges insurers about $34, or about $71 in cash — below the fair price — a good deal. Located in Jamaica, NY.

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 $33 - $194 114%
Blue Cross Blue Shieldmajor $63 217%
Aetnamajor $33 114%
Cignamajor $264 908%
Humanamajor $35 120%
EmblemHealth $54 186%
Fidelis Care $31 - $33 107%
MagnaCare $38 131%
WellCare $34 117%
+ 14 smaller / regional plans $27 - $1,912

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Facility Profile & Credentials

  • Address: 89Th Avenue and Van Wyck Expressway, Jamaica, NY 11418
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals