CMS Price Transparency Data
Physical therapy (gait training)
Facility: Mercy Health Rehabilitation Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$42
about 1.4× the $29 Medicare rate · typically $28–$82
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $42 Cash price $150 Hospital's list price $150
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 | $104 - $191 | 358% |
| Blue Cross Blue Shieldmajor | $104 - $191 | 358% |
| Aetnamajor | $104 - $191 | 358% |
| Cignamajor | $104 - $191 | 358% |
| Humanamajor | $104 - $191 | 358% |
| Ambetter (Centene) | $104 - $191 | 358% |
| CareSource | $104 - $191 | 358% |
| Devoted Health | $104 - $191 | 358% |
| Medical Mutual | $57 - $191 | 196% |
| Molina | $104 - $191 | 358% |
| UPMC Health Plan | $104 - $191 | 358% |
| + 1 smaller / regional plan | $70 - $130 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Health Rehabilitation 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.