CMS Price Transparency Data

Physical therapy (gait training)

Facility: Southwestern Vermont Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$28
about 1.0× the $29 Medicare rate · typically $21–$29
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
1.0× Medicare
Medicare pays $29 Fair price $28 This hospital $28 Cash price $83 Hospital's list price $118

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

Lowest price of the 6 VT hospitals we have prices for — a strong deal.

Cheapest $28 Priciest $119

Black dot = this hospital, among the 6 VT hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $28 (about 1.0× the $29 Medicare rate). Southwestern Vermont Medical Center charges insurers about $28, or about $83 in cash — about the fair price. Located in Bennington, VT.

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 $22 - $39 76%
Blue Cross Blue Shieldmajor $24 - $28 83%
Aetnamajor $24 - $38 83%
Cignamajor $24 - $39 83%
Humanamajor $24 - $28 83%
CDPHP $20 - $40 69%
Fidelis Care $21 - $30 72%
Harvard Pilgrim $39 134%
MVP Health Care $22 - $42 76%
WellCare $24 - $28 83%
+ 3 smaller / regional plans $24 - $39

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Facility Profile & Credentials

  • Address: 100 Hospital Drive, Bennington, VT 05201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals