Physical therapy (gait training)
Facility: Wellspan York Hospital
Billing Code: 97116 (CPT)
This hospital's typical commercial price is $103 compared to the $72 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.43× fair market pricing.
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $72 (about 2.5× the $29 Medicare rate). Wellspan York Hospital charges insurers about $103, or about $118 in cash — above the fair price. Located in York, 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 $72. 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.
4 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 | $139 | 478% |
| Blue Cross Blue Shieldmajor | $42 - $171 | 145% |
| Aetnamajor | $28 - $135 | 96% |
| Cignamajor | $132 - $134 | 454% |
| Geisinger | $141 | 485% |
| UPMC Health Plan | $141 | 485% |
| + 1 smaller / regional plan | $28 - $141 |
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 Wellspan York Hospital
Compare: Physical therapy (gait training) at other PA hospitals
- Washington Hospital, The · Washington $10
- St Lukes Hospital · Bethlehem $10
- UPMC Greene · Waynesburg $10
- St Luke's Hospital - Easton Campus · Easton $10
- St Luke's Miners Memorial Hospital · Coaldale $10
- St Luke's Hospital - Monroe Campus · Stroudsburg $10
- Geisinger St. Luke's Hospital · Orwigsburg $10
- St Luke's Hospital - Carbon Campus · Lehighton $10
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Wellspan York Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $54
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $54).
Self-Pay Cash Rate ($118) Beats Your Bill
Wellspan York Hospital's published 45 CFR § 180 self-pay cash rate is $118 (vs. $103 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $72 Fair BaseRate ($29 Medicare)
Your bill ($148) is $76 above the denoised Fair BaseRate ($72) and 5.1× the $29 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.