CMS Price Transparency Data

Physical therapy (gait training)

Facility: Rainbow Babies and Childrens 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–$59
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $14 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $42 This hospital $28

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 $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 $42 (about 1.4× the $29 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $28 — below the fair price — a good deal. Located in Cleveland, OH.

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 $28 96%
Blue Cross Blue Shieldmajor $28 96%
Aetnamajor $28 96%
Cignamajor $28 96%
Humanamajor $28 96%
Devoted Health $28 96%
Medical Mutual $28 96%
Molina $28 96%
Paramount $28 96%
WellCare $28 96%
+ 5 smaller / regional plans $28 - $29

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Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens