CMS Price Transparency Data

Physical therapy (gait training)

Facility: UPMC Jameson

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 1.0× the $29 Medicare rate · typically $19–$45
modeled estimate · not a bill or quote
What this hospital charges insurers
$17
Below the fair price — a good deal
about $12 under the fair price · 0.6× Medicare
Medicare pays $29 Fair price $29 This hospital $17 Cash price $116 Hospital's list price $193

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 $17

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (gait training) is about $29 (about 1.0× the $29 Medicare rate). UPMC Jameson charges insurers about $17, or about $116 in cash — below the fair price — a good deal. Located in New Castle, PA.

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 $10 - $172 34%
Blue Cross Blue Shieldmajor $26 - $96 89%
Aetnamajor $9 - $20 31%
Cignamajor $146 502%
Humanamajor $154 530%
AmeriHealth $11 38%
Geisinger $12 41%
UPMC Health Plan $9 - $85 31%
+ 3 smaller / regional plans $14 - $170
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1211 Wilmington Avenue, New Castle, PA 16105
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals