CMS Price Transparency Data
Physical therapy (gait training)
Facility: Summa Western Reserve Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$71
about 2.4× the $29 Medicare rate · typically $31–$211
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $71 Cash price $167 Hospital's list price $304
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✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 | $237 | 816% |
| Aetnamajor | $103 | 354% |
| Cignamajor | $185 | 637% |
Government programs also on file: Medicare.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Summa Western Reserve Hospital
Compare: Physical therapy (gait training) at other OH hospitals
- Institute for Orthopaedic Surgery · Lima $18
- Cincinnati Children's Hospital Medical Center · Cincinnati $18
- Highland District Hospital · Hillsboro $20
- University of Toledo Medical Center · Toledo $27
- Pomerene Hospital · Millersburg $27
- Licking Memorial Hospital · Newark $27
- University Hospitals Samaritan Medical Center · Ashland $28
- Riverside Methodist Hospital · Columbus $28
Insurance negotiated median for the same procedure, sorted lowest first.