CMS Price Transparency Data

Physical therapy (gait training)

Facility: Ashtabula County Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $27–$37
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $30 This hospital $28 Cash price $109 Hospital's list price $156

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $28

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (gait training) is about $30 (about 1.0× the $29 Medicare rate). Ashtabula County Medical Center charges insurers about $28, or about $109 in cash — about the fair price. Located in Ashtabula, OH.

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 $26 - $176 89%
Blue Cross Blue Shieldmajor $28 - $102 96%
Aetnamajor $24 - $37 83%
Cignamajor $67 - $78 231%
CareSource $28 96%
Medical Mutual $28 - $89 96%
Molina $35 120%
Oscar Health $37 127%
+ 2 smaller / regional plans $29 - $62

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 2420 Lake Avenue, Ashtabula, OH 44004
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals