Physical therapy (gait training)
Facility: Penn Presbyterian Medical Center
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 $42 (about 1.4× the $29 Medicare rate). Penn Presbyterian Medical Center charges insurers about $52, or about $385 in cash — above the fair price. Located in Philadelphia, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $42. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $17 - $385 | 58% |
| Blue Cross Blue Shieldmajor | $30 - $385 | 103% |
| Aetnamajor | $32 - $385 | 110% |
| Cignamajor | $31 - $135 | 107% |
| Humanamajor | $31 - $308 | 107% |
| Clover Health | $32 | 110% |
| Geisinger | $31 - $95 | 107% |
| Health Net | $231 | 795% |
| HealthPartners | $20 - $385 | 69% |
| Oscar Health | $51 | 175% |
| UPMC Health Plan | $30 - $385 | 103% |
| + 37 smaller / regional plans | $30 - $385 |
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 Penn Presbyterian Medical Center
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.