CMS Price Transparency Data

Physical therapy (gait training)

Facility: Elizabethtown Community Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$42
about 1.4× the $29 Medicare rate · typically $23–$100
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $1 over the fair price · 1.5× Medicare
Medicare pays $29 Fair price $42 This hospital $43 Cash price $121 Hospital's list price $121

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 $43

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 $42 (about 1.4× the $29 Medicare rate). Elizabethtown Community Hospital charges insurers about $43, or about $121 in cash — about the fair price. Located in Elizabethtown, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $41 - $111 141%
Blue Cross Blue Shieldmajor $43 - $99 148%
Aetnamajor $46 - $103 158%
Fidelis Care $43 - $92 148%
Harvard Pilgrim $97 334%
MagnaCare $97 334%
MVP Health Care $41 - $95 141%
+ 4 smaller / regional plans $36 - $99
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 75 Park Street, Elizabethtown, NY 12932
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals