CMS Price Transparency Data

Physical therapy (gait training)

Facility: Jefferson Abington Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.2× the $29 Medicare rate · typically $25–$55
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $6 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $34 This hospital $28 Cash price $34 Hospital's list price $278

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 $28

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 $34 (about 1.2× the $29 Medicare rate). Jefferson Abington Hospital charges insurers about $28, or about $34 in cash — below the fair price — a good deal. Located in Abington, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $39 134%
Aetnamajor $13 - $47 45%
Geisinger $42 - $55 145%
HealthPartners $8 - $32 28%
+ 3 smaller / regional plans $11 - $33
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 1200 Old York Road, Abington, PA 19001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals