Physical therapy (gait training)
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 97116 (CPT)
Highest price of the 9 OR hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.
A fair price for a Physical therapy (gait training) is about $46 (about 1.6× the $29 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $46, or about $68 in cash — about the fair price. Located in Ontario, OR.
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
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 - $101 | 96% |
| Blue Cross Blue Shieldmajor | $28 - $89 | 96% |
| Aetnamajor | $29 - $99 | 100% |
| Cignamajor | $32 - $99 | 110% |
| Humanamajor | $32 - $92 | 110% |
| Ambetter (Centene) | $32 | 110% |
| Dean Health Plan | $94 | 323% |
| GEHA | $99 - $101 | 341% |
| Health Net | $32 - $88 | 110% |
| HealthPartners | $32 - $82 | 110% |
| Meridian | $32 | 110% |
| Moda Health | $54 - $102 | 186% |
| Molina | $32 | 110% |
| PacificSource | $63 - $99 | 217% |
| Paramount | $32 - $94 | 110% |
| Presbyterian | $32 | 110% |
| Priority Health | $99 | 341% |
| SelectHealth | $50 - $94 | 172% |
| Tufts Health Plan | $32 | 110% |
| WellSense | $32 | 110% |
| + 93 smaller / regional plans | $30 - $100 |
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.
Other Procedures at Saint Alphonsus Medical Center Ontario
Compare: Physical therapy (gait training) at other OR hospitals
- Willamette Valley Medical Center · McMinnville $22
- Sky Lakes Medical Center · Klamath Falls $28
- Santiam Hospital & Clinics · Stayton $29
- McKenzie-Willamette Medical Center · Springfield $30
- Providence St Vincent Medical Center · Portland $33
- Legacy Emanuel Medical Center · Portland $33
- OHSU Hospital and Clinics · Portland $33
- Legacy Good Samaritan Medical Center · Portland $33
Insurance negotiated median for the same procedure, sorted lowest first.