CMS Price Transparency Data

Physical therapy (gait training)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$28
about 1.0× the $29 Medicare rate · typically $9–$43
modeled estimate · not a bill or quote
What this hospital charges insurers
$10
Below the fair price — a good deal
about $18 under the fair price · 0.3× Medicare
Medicare pays $29 Fair price $28 This hospital $10 Cash price $106 Hospital's list price $171

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

One of the lower prices — 0 of 8 other PA hospitals charge more for the same procedure.

Cheapest $9 Priciest $10

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). Geisinger Wyoming Valley Medical Center charges insurers about $10, or about $106 in cash — below the fair price — a good deal. Located in Wilkes Barre, 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✓ Cigna HumanaKaiser 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 $87 299%
Blue Cross Blue Shieldmajor $28 - $40 96%
Aetnamajor $80 - $114 275%
Cignamajor $74 - $77 255%
AmeriHealth $10 34%
Geisinger $9 31%
HealthPartners $10 34%
UPMC Health Plan $10 34%
+ 3 smaller / regional plans $86 - $145
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1000 East Mountain Boulevard, Wilkes Barre, PA 18711
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals