CMS Price Transparency Data

Physical therapy (gait training)

Facility: Ira Davenport Memorial Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$31
about 1.1× the $29 Medicare rate · typically $29–$60
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $31 This hospital $28 Cash price $70 Hospital's list price $119

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

One of the lower prices — 0 of 8 other NY hospitals charge more for the same procedure.

Cheapest $27 Priciest $28

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 $31 (about 1.1× the $29 Medicare rate). Ira Davenport Memorial Hospital charges insurers about $28, or about $70 in cash — about the fair price. Located in Bath, 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 $87 - $122 299%
Blue Cross Blue Shieldmajor $25 - $352 86%
Aetnamajor $87 - $103 299%
Cignamajor $72 248%
Humanamajor $28 - $104 96%
AmeriHealth $28 96%
Fidelis Care $39 - $64 134%
Geisinger $67 231%
Independent Health $75 258%
MVP Health Care $72 248%
UPMC Health Plan $80 275%
+ 6 smaller / regional plans $16 - $382
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 7571 State Route 54, Bath, NY 14810
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital