CMS Price Transparency Data

Physical therapy (gait training)

Facility: St Luke's Hospital - Carbon Campus

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$27
about 0.9× the $29 Medicare rate · typically $10–$43
modeled estimate · not a bill or quote
What this hospital charges insurers
$10
Below the fair price — a good deal
about $17 under the fair price · 0.3× Medicare
Medicare pays $29 Fair price $27 This hospital $10 Cash price $281 Hospital's list price $339

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 $27 (about 0.9× the $29 Medicare rate). St Luke's Hospital - Carbon Campus charges insurers about $10, or about $281 in cash — below the fair price — a good deal. Located in Lehighton, 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 $98 337%
Blue Cross Blue Shieldmajor $10 - $347 34%
Aetnamajor $20 - $118 69%
Cignamajor $93 320%
AmeriHealth $10 34%
Geisinger $10 - $95 34%
Oscar Health $88 303%
UPMC Health Plan $10 - $93 34%
+ 1 smaller / regional plan $12

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 500 St Luke's Drive, Lehighton, PA 18235
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals