CMS Price Transparency Data

Physical therapy (gait training)

Facility: Titusville Area Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$53
about 1.8× the $29 Medicare rate · typically $15–$62
modeled estimate · not a bill or quote
What this hospital charges insurers
$61
Above the fair price
about $8 over the fair price · 2.1× Medicare
Medicare pays $29 Fair price $53 This hospital $61 Cash price $73 Hospital's list price $121

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 $61

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 $53 (about 1.8× the $29 Medicare rate). Titusville Area Hospital charges insurers about $61, or about $73 in cash — above the fair price. Located in Titusville, 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 $53. 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.

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 $32 - $43 110%
Blue Cross Blue Shieldmajor $41 - $123 141%
Aetnamajor $41 - $79 141%
Cignamajor $41 141%
Humanamajor $41 141%
UPMC Health Plan $32 110%
+ 1 smaller / regional plan $41
Government programs also on file: Medicare.

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.

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Facility Profile & Credentials

  • Address: 406 West Oak Street, Titusville, PA 16354
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals