CMS Price Transparency Data

Physical therapy (gait training)

Facility: Metropolitan Hospital Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$105
about 3.6× the $29 Medicare rate · typically $34–$152
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $7 under the fair price · 3.4× Medicare
Medicare pays $29 Fair price $105 This hospital $98 Hospital's list price $252

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 $98

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 $105 (about 3.6× the $29 Medicare rate). Metropolitan Hospital Center charges insurers about $98 — about the fair price. Located in New York, NY.

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 $44 - $1,093 151%
Blue Cross Blue Shieldmajor $44 - $1,626 151%
Aetnamajor $17 - $1,171 58%
Cignamajor $241 - $1,500 829%
Fidelis Care $44 - $98 151%
MagnaCare $185 - $320 637%
Oscar Health $251 - $1,396 864%
WellCare $35 120%
+ 13 smaller / regional plans $26 - $977
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1901 First Avenue, New York, NY 10029
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals