CMS Price Transparency Data

Physical therapy (gait training)

Facility: Cayuga Medical Center at Ithaca

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$75
about 2.6× the $29 Medicare rate · typically $29–$105
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
Below the fair price — a good deal
about $25 under the fair price · 1.7× Medicare
Medicare pays $29 Fair price $75 This hospital $50 Cash price $24 Hospital's list price $118

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 $50

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 $75 (about 2.6× the $29 Medicare rate). Cayuga Medical Center at Ithaca charges insurers about $50, or about $24 in cash — below the fair price — a good deal. Located in Ithaca, 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 $107 368%
Blue Cross Blue Shieldmajor $28 - $92 96%
Aetnamajor $37 - $90 127%
Cignamajor $98 337%
Fidelis Care $62 213%
Independent Health $113 389%
Molina $28 - $62 96%
WellCare $120 413%
+ 2 smaller / regional plans $109 - $121

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Facility Profile & Credentials

  • Address: 101 Dates Drive, Ithaca, NY 14850
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals