CMS Price Transparency Data

Physical therapy (gait training)

Facility: Uhhs Memorial Hospital of Geneva

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$61
about 2.1× the $29 Medicare rate · typically $32–$108
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
Above the fair price
about $24 over the fair price · 2.9× Medicare
Medicare pays $29 Fair price $61 This hospital $85 Cash price $109 Hospital's list price $145

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 $85

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 $61 (about 2.1× the $29 Medicare rate). Uhhs Memorial Hospital of Geneva charges insurers about $85, or about $109 in cash — above the fair price. Located in Geneva, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $61. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $29 - $133 100%
Blue Cross Blue Shieldmajor $29 - $135 100%
Aetnamajor $29 - $99 100%
Cignamajor $29 - $88 100%
Humanamajor $29 100%
Ambetter (Centene) $52 179%
CareSource $52 179%
Devoted Health $29 100%
Health Net $123 423%
Medical Mutual $29 - $145 100%
Molina $29 100%
Paramount $30 103%
WellCare $29 100%
+ 19 smaller / regional plans $29 - $130
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 870 West Main Street, Geneva, OH 44041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals