CMS Price Transparency Data

Physical therapy (gait training)

Facility: Kings County Hospital Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$93
about 3.2× the $29 Medicare rate · typically $33–$122
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
About the fair price
about $1 under the fair price · 3.2× Medicare
Medicare pays $29 Fair price $93 This hospital $92 Cash price $37 Hospital's list price $247

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 $92

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 $93 (about 3.2× the $29 Medicare rate). Kings County Hospital Center charges insurers about $92, or about $37 in cash — about the fair price. Located in Brooklyn, 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 $64 - $1,093 220%
Blue Cross Blue Shieldmajor $33 - $1,626 114%
Aetnamajor $17 - $1,171 58%
Cignamajor $241 - $1,500 829%
Fidelis Care $33 - $145 114%
MagnaCare $185 - $320 637%
Oscar Health $41 - $1,396 141%
WellCare $33 - $35 114%
+ 15 smaller / regional plans $16 - $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: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals