CMS Price Transparency Data

Physical therapy (gait training)

Facility: Jefferson Lansdale Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$36
about 1.2× the $29 Medicare rate · typically $16–$78
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
Above the fair price
about $9 over the fair price · 1.6× Medicare
Medicare pays $29 Fair price $36 This hospital $45 Cash price $34 Hospital's list price $278

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $9 Priciest $45

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $36 (about 1.2× the $29 Medicare rate). Jefferson Lansdale Hospital charges insurers about $45, or about $34 in cash — above the fair price. Located in Lansdale, PA.

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 $36. 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.

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $42 - $47 145%
HealthPartners $32 110%
+ 1 smaller / regional plan $45 - $126

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.

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Facility Profile & Credentials

  • Address: 100 Medical Campus Drive, Lansdale, PA 19446
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals