CMS Price Transparency Data

Physical therapy (gait training)

Facility: Penn State Health Lancaster Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.2× the $29 Medicare rate · typically $23–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $8 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $36 This hospital $28 Cash price $52 Hospital's list price $179

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 $36 (about 1.2× the $29 Medicare rate). Penn State Health Lancaster Medical Center charges insurers about $28, or about $52 in cash — below the fair price — a good deal. Located in Lancaster, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 - $112 96%
Blue Cross Blue Shieldmajor $24 - $85 83%
Aetnamajor $28 - $119 96%
Cignamajor $110 379%
Humanamajor $28 96%
AmeriHealth $24 - $28 83%
Cigna HealthSpring $28 96%
Geisinger $25 - $119 86%
HealthPartners $26 - $29 89%
UPMC Health Plan $29 - $132 100%
+ 2 smaller / regional plans $26 - $35
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2160 State Road, Lancaster, PA 17601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals