CMS Price Transparency Data

Physical therapy (gait training)

Facility: Surgical Institute of Reading

Billing Code: 97116 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$63
about 2.2× the $29 Medicare rate · typically $18–$161
modeled estimate · not a bill or quote
What this hospital charges insurers
$89
Above the fair price
about $26 over the fair price · 3.1× Medicare
Medicare pays $29 Fair price $63 This hospital $89 Hospital's list price $156

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 $89

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 $63 (about 2.2× the $29 Medicare rate). Surgical Institute of Reading charges insurers about $89 — above the fair price. Located in Wyomissing, 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 $63. 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.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 $26 89%
Aetnamajor $89 - $109 306%
Cignamajor $6,131 21098%
+ 1 smaller / regional plan $79
Government programs also on file: Military & VA.
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

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2752 Century Boulevard, Wyomissing, PA 19610
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals