CMS Price Transparency Data

Physical therapy (gait training)

Facility: UPMC Pinnacle Hospitals

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $13–$58
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
Below the fair price — a good deal
about $16 under the fair price · 0.5× Medicare
Medicare pays $29 Fair price $30 This hospital $14 Cash price $44 Hospital's list price $74

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 $14

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 $30 (about 1.0× the $29 Medicare rate). UPMC Pinnacle Hospitals charges insurers about $14, or about $44 in cash — below the fair price — a good deal. Located in Harrisburg, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $11 38%
Blue Cross Blue Shieldmajor $15 - $308 52%
Aetnamajor $19 - $54 65%
AmeriHealth $11 38%
Geisinger $12 41%
HealthPartners $11 38%
UPMC Health Plan $43 - $70 148%
+ 5 smaller / regional plans $14 - $308

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 409 South Second Street, Harrisburg, PA 17104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals