CMS Price Transparency Data

Physical therapy (gait training)

Facility: St Luke's Hospital - Upper Bucks Campus

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$33
about 1.1× the $29 Medicare rate · typically $15–$55
modeled estimate · not a bill or quote
What this hospital charges insurers
$11
Below the fair price — a good deal
about $22 under the fair price · 0.4× Medicare
Medicare pays $29 Fair price $33 This hospital $11 Cash price $277 Hospital's list price $308

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 $11

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 $33 (about 1.1× the $29 Medicare rate). St Luke's Hospital - Upper Bucks Campus charges insurers about $11, or about $277 in cash — below the fair price — a good deal. Located in Quakertown, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $89 306%
Blue Cross Blue Shieldmajor $10 - $255 34%
Aetnamajor $20 - $107 69%
Cignamajor $84 289%
AmeriHealth $10 34%
Geisinger $10 - $87 34%
Oscar Health $80 275%
UPMC Health Plan $10 - $84 34%
+ 2 smaller / regional plans $8 - $12

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 3000 St. Luke's Drive, Quakertown, PA 18951
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals