CMS Price Transparency Data

Physical therapy (gait training)

Facility: Advanced Surgical Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$27
about 0.9× the $29 Medicare rate · typically $24–$41
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $29 Fair price $27 This hospital $28 Cash price $28 Hospital's list price $118

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 $27 (about 0.9× the $29 Medicare rate). Advanced Surgical Hospital charges insurers about $28, or about $28 in cash — about the fair price. Located in Washington, 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 $28 - $31 96%
Blue Cross Blue Shieldmajor $26 - $34 89%
Aetnamajor $28 - $69 96%
Cignamajor $28 - $169 96%
AmeriHealth $28 96%
+ 5 smaller / regional plans $28 - $62
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 100 Trich Drive, Washington, PA 15301
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals