CMS Price Transparency Data

Physical therapy (gait training)

Facility: St Christopher's Hospital for Children

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.4× the $29 Medicare rate · typically $24–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
Above the fair price
about $18 over the fair price · 2.1× Medicare
Medicare pays $29 Fair price $42 This hospital $60 Cash price $123 Hospital's list price $246

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 $60

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 $42 (about 1.4× the $29 Medicare rate). St Christopher's Hospital for Children charges insurers about $60, or about $123 in cash — above the fair price. Located in Philadelphia, 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 $42. 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.

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 $13 45%
Blue Cross Blue Shieldmajor $43 - $133 148%
Aetnamajor $57 - $184 196%
Cignamajor $175 602%
Geisinger $56 - $111 193%
HealthPartners $41 - $55 141%
+ 1 smaller / regional plan $60

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 160 East Erie Ave, Philadelphia, PA 19134
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Childrens