CMS Price Transparency Data

Physical therapy (gait training)

Facility: Lancaster General Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$52
about 1.8× the $29 Medicare rate · typically $25–$68
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
about $3 under the fair price · 1.7× Medicare
Medicare pays $29 Fair price $52 This hospital $49 Cash price $97 Hospital's list price $97

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 $49

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 $52 (about 1.8× the $29 Medicare rate). Lancaster General Hospital charges insurers about $49, or about $97 in cash — about the fair price. Located in Lancaster, 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 $9 - $100 31%
Blue Cross Blue Shieldmajor $20 - $405 69%
Aetnamajor $28 - $68 96%
Cignamajor $29 - $84 100%
AmeriHealth $28 96%
Devoted Health $29 100%
Geisinger $82 - $85 282%
HealthPartners $29 100%
Oscar Health $54 186%
UPMC Health Plan $24 - $85 83%
+ 24 smaller / regional plans $18 - $13,500
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals