CMS Price Transparency Data

Physical therapy (gait training)

Facility: Shriners Hospitals for Children - Philadelphia

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.2× the $29 Medicare rate · typically $27–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $5 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $35 This hospital $30 Cash price $147 Hospital's list price $147

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 $30

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 $35 (about 1.2× the $29 Medicare rate). Shriners Hospitals for Children - Philadelphia charges insurers about $30, or about $147 in cash — below the fair price — a good deal. Located in Philadelphia, 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 $167 - $180 575%
Blue Cross Blue Shieldmajor $20 - $80 69%
Aetnamajor $8 - $42 28%
Cignamajor $130 447%
Humanamajor $12 41%
Ambetter (Centene) $8 - $34 28%
AmeriHealth $8 - $34 28%
Geisinger $8 28%
HealthPartners $8 28%
Providence Health Plan $139 478%
UPMC Health Plan $8 28%
+ 2 smaller / regional plans $8 - $42
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3551 N Broad Street, Philadelphia, PA 19104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens