CMS Price Transparency Data

Physical therapy (gait training)

Facility: Inova Fair Oaks 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 $30–$111
modeled estimate · not a bill or quote
What this hospital charges insurers
$99
Well above the fair price
about $46 over the fair price · 3.4× Medicare
Medicare pays $29 Fair price $53 This hospital $99 Cash price $87 Hospital's list price $174

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $27 Priciest $99

Black dot = this hospital, among the 9 VA 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). Inova Fair Oaks Hospital charges insurers about $99, or about $87 in cash — well above the fair price. Located in Fairfax, VA.

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.

6 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 $41 - $583 141%
Blue Cross Blue Shieldmajor $32 - $63 110%
Aetnamajor $42 - $104 145%
Cignamajor $78 - $112 268%
Humanamajor $42 145%
Kaiser Permanentemajor $44 - $136 151%
Sentara $42 - $159 145%
+ 1 smaller / regional plan $109

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: 3600 Joseph Siewick Drive, Fairfax, VA 22033
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals