CMS Price Transparency Data
Physical therapy (gait training)
Facility: St Marys Rehabilitation Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $25–$80
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $30 Cash price $137 Hospital's list price $137
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $100 - $221 | 344% |
| Aetnamajor | $100 - $221 | 344% |
| Cignamajor | $100 - $221 | 344% |
| Humanamajor | $100 - $221 | 344% |
| Ambetter (Centene) | $100 - $221 | 344% |
| + 11 smaller / regional plans | $100 - $221 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at St Marys Rehabilitation Hospital
Compare: Physical therapy (gait training) at other PA hospitals
- UPMC Muncy · Muncy $9
- UPMC Wellsboro · Wellsboro $9
- Geisinger-Community Medical Center · Scranton $10
- Geisinger-Bloomsburg Hospital · Bloomsburg $10
- Washington Hospital, The · Washington $10
- Geisinger-Lewistown Hospital · Lewistown $10
- St Lukes Hospital · Bethlehem $10
- UPMC Greene · Waynesburg $10
Insurance negotiated median for the same procedure, sorted lowest first.