CMS Price Transparency Data

Physical therapy (gait training)

Facility: Bellevue Hospital Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$101
about 3.5× the $29 Medicare rate · typically $34–$140
modeled estimate · not a bill or quote
What this hospital charges insurers
$71
Below the fair price — a good deal
about $30 under the fair price · 2.4× Medicare
Medicare pays $29 Fair price $101 This hospital $71 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 $71

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 $101 (about 3.5× the $29 Medicare rate). Bellevue Hospital Center charges insurers about $71, or about $37 in cash — below the fair price — a good deal. 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 $64 - $1,093 220%
Blue Cross Blue Shieldmajor $32 - $1,626 110%
Aetnamajor $17 - $1,171 58%
Cignamajor $241 - $1,500 829%
Fidelis Care $32 - $144 110%
MagnaCare $185 - $320 637%
Oscar Health $40 - $1,396 138%
WellCare $33 - $40 114%
+ 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: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals