CMS Price Transparency Data

Physical therapy (gait training)

Facility: Clinton Memorial Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.3× the $29 Medicare rate · typically $36–$38
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
1.3× Medicare
Medicare pays $29 Fair price $38 This hospital $38 Cash price $29 Hospital's list price $57

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 $38

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

A fair price for a Physical therapy (gait training) is about $38 (about 1.3× the $29 Medicare rate). Clinton Memorial Hospital charges insurers about $38, or about $29 in cash — about the fair price. Located in Wilmington, OH.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $28 - $49 96%
CareSource $36 124%
+ 1 smaller / regional plan $29 - $40

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Facility Profile & Credentials

  • Address: 610 West Main Street, Wilmington, OH 45177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals