Physical therapy (gait training)
Facility: UPMC Presbyterian Shadyside
Billing Code: 97116 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $28 (about 1.0× the $29 Medicare rate). UPMC Presbyterian Shadyside charges insurers about $26, or about $198 in cash — about the fair price. 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.
4 of 6 major insurers have a published price at this hospital
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 | $10 | 34% |
| Blue Cross Blue Shieldmajor | $12 - $165 | 41% |
| Aetnamajor | $11 - $82 | 38% |
| Humanamajor | $280 | 964% |
| AmeriHealth | $13 | 45% |
| Fidelis Care | $248 | 853% |
| Geisinger | $13 | 45% |
| HealthPartners | $13 | 45% |
| UPMC Health Plan | $9 - $112 | 31% |
| + 6 smaller / regional plans | $14 - $280 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at UPMC Presbyterian Shadyside
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.