CMS Price Transparency Data
Physical therapy (gait training)
Facility: Wellspan Chambersburg Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$148
about 5.1× the $29 Medicare rate · typically $57–$215
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $148 Cash price $162 Hospital's list price $203
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 | $191 | 657% |
| Blue Cross Blue Shieldmajor | $146 - $434 | 502% |
| Aetnamajor | $136 - $167 | 468% |
| Cignamajor | $151 - $173 | 520% |
| Geisinger | $150 | 516% |
| UPMC Health Plan | $122 - $173 | 420% |
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Wellspan Chambersburg Hospital
Compare: Physical therapy (gait training) at other PA hospitals
- UPMC Muncy · Muncy $9
- UPMC Wellsboro · Wellsboro $9
- Geisinger-Community Medical Center · Scranton $10
- Geisinger-Bloomsburg Hospital · Bloomsburg $10
- Washington Hospital, The · Washington $10
- Geisinger-Lewistown Hospital · Lewistown $10
- St Lukes Hospital · Bethlehem $10
- UPMC Greene · Waynesburg $10
Insurance negotiated median for the same procedure, sorted lowest first.