CMS Price Transparency Data

Physical therapy (gait training)

Facility: Paoli Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.2× the $29 Medicare rate · typically $26–$52
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
Below the fair price — a good deal
about $4 under the fair price · 1.1× Medicare
Medicare pays $29 Fair price $35 This hospital $31 Cash price $107 Hospital's list price $268

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 $31

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 $35 (about 1.2× the $29 Medicare rate). Paoli Hospital charges insurers about $31, or about $107 in cash — below the fair price — a good deal. Located in Paoli, 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✓ Humana CignaKaiser 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 $31 107%
Blue Cross Blue Shieldmajor $28 - $91 96%
Aetnamajor $29 - $38 100%
Humanamajor $28 96%
Devoted Health $30 103%
Geisinger $31 107%
HealthPartners $29 100%
+ 1 smaller / regional plan $31

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 255 West Lancaster Avenue, Paoli, PA 19301
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals