CMS Price Transparency Data

Physical therapy (gait training)

Facility: Excela Health Latrobe Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$28
about 1.0× the $29 Medicare rate · typically $24–$35
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $29 Fair price $28 This hospital $29 Cash price $46 Hospital's list price $76

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 $29

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 $28 (about 1.0× the $29 Medicare rate). Excela Health Latrobe Hospital charges insurers about $29, or about $46 in cash — about the fair price. Located in Latrobe, 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 $12 - $31 41%
Blue Cross Blue Shieldmajor $10 - $61 34%
Aetnamajor $29 - $64 100%
Cignamajor $12 - $69 41%
Humanamajor $12 - $29 41%
Ambetter (Centene) $14 - $35 48%
AmeriHealth $12 - $29 41%
Devoted Health $12 - $29 41%
Geisinger $12 - $29 41%
HealthPartners $11 - $29 38%
UPMC Health Plan $12 - $55 41%
+ 9 smaller / regional plans $11 - $65

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Facility Profile & Credentials

  • Address: One Mellon Way, Latrobe, PA 15650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals