CMS Price Transparency Data

Physical therapy (gait training)

Facility: Copley Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$56
about 1.9× the $29 Medicare rate · typically $22–$87
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
Above the fair price
about $22 over the fair price · 2.7× Medicare
Medicare pays $29 Fair price $56 This hospital $78 Cash price $81 Hospital's list price $102

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

A typical price — 2 charge more and 3 charge less, among the 6 VT hospitals compared.

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 $56 (about 1.9× the $29 Medicare rate). Copley Hospital charges insurers about $78, or about $81 in cash — above the fair price. Located in Morrisville, VT.

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 $56. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $43 - $98 148%
Blue Cross Blue Shieldmajor $43 - $97 148%
Cignamajor $95 - $98 327%
Harvard Pilgrim $43 - $91 148%
MVP Health Care $43 - $80 148%
Government programs also on file: Medicare.

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: 528 Washington Highway, Morrisville, VT 05661
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals