CMS Price Transparency Data

Physical therapy (gait training)

Facility: Institute for Orthopaedic Surgery

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $18–$45
modeled estimate · not a bill or quote
What this hospital charges insurers
$18
Below the fair price — a good deal
about $12 under the fair price · 0.6× Medicare
Medicare pays $29 Fair price $30 This hospital $18 Hospital's list price $98

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Lowest price of the 9 OH hospitals we have prices for — a strong deal.

Cheapest $18 Priciest $28

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 $30 (about 1.0× the $29 Medicare rate). Institute for Orthopaedic Surgery charges insurers about $18 — below the fair price — a good deal. Located in Lima, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $69 237%
Blue Cross Blue Shieldmajor $36 124%
Medical Mutual $68 234%

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Facility Profile & Credentials

  • Address: 801 Medical Drive, Suite B, Lima, OH 45804
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals