CMS Price Transparency Data

Physical therapy (gait training)

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 1.0× the $29 Medicare rate · typically $24–$41
modeled estimate · not a bill or quote
What this hospital charges insurers
$26
Below the fair price — a good deal
about $3 under the fair price · 0.9× Medicare
Medicare pays $29 Fair price $29 This hospital $26 Cash price $97 Hospital's list price $161

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 $26

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). Magee Womens Hospital of UPMC Health System charges insurers about $26, or about $97 in cash — below the fair price — a good deal. Located in Pittsburgh, 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 $9 31%
Blue Cross Blue Shieldmajor $12 - $129 41%
Aetnamajor $11 - $85 38%
Cignamajor $64 - $85 220%
Humanamajor $137 471%
AmeriHealth $13 45%
Geisinger $13 45%
UPMC Health Plan $9 - $107 31%
+ 3 smaller / regional plans $14 - $137
Excludes 3 rental-network / third-party entries (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: 300 Halket Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals