CMS Price Transparency Data

Physical therapy (gait training)

Facility: Rhode Island Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$50
about 1.7× the $29 Medicare rate · typically $30–$85
modeled estimate · not a bill or quote
What this hospital charges insurers
$77
Above the fair price
about $27 over the fair price · 2.7× Medicare
Medicare pays $29 Fair price $50 This hospital $77 Cash price $165 Hospital's list price $165

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

On the higher side — 3 of 4 other RI hospitals charge less.

Cheapest $30 Priciest $118

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $50 (about 1.7× the $29 Medicare rate). Rhode Island Hospital charges insurers about $77, or about $165 in cash — above the fair price. Located in Providence, RI.

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 $50. 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.

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

✓ Aetna✓ Cigna UnitedHealthcareBlue Cross Blue ShieldHumanaKaiser 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
Aetnamajor $30 103%
Cignamajor $30 - $125 103%
Tufts Health Plan $123 423%

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: 593 Eddy Street, Providence, RI 02902
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals