CMS Price Transparency Data

Physical therapy (gait training)

Facility: Bethesda North

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$44
about 1.5× the $29 Medicare rate · typically $33–$52
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $4 over the fair price · 1.7× Medicare
Medicare pays $29 Fair price $44 This hospital $48 Cash price $107 Hospital's list price $142

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 $48

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 $44 (about 1.5× the $29 Medicare rate). Bethesda North charges insurers about $48, or about $107 in cash — about the fair price. Located in Cincinnati, 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%
Medical Mutual $28 96%
Oscar Health $42 145%
+ 3 smaller / regional plans $29 - $80
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 10500 Montgomery Road, Cincinnati, OH 45242
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals