Price Checker / CPT 97116
CPT 97116 — Gait training therapy
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$29
What Medicare pays in a hospital/ASC setting
$29
What Medicare pays in a physician's office
$1,645
Based on 33 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 97116
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Springhill Medical Center , AL | $12,176 | $12,176 | 41801% |
| Rehabilitation Hospital of Rhode Island , RI | $10,568 | $10,568 | 36267% |
| The Medical Center , KY | $10,328 | — | 35440% |
| Huntsville Hospital , AL | $7,241 | $7,241 | 24817% |
| Stonewall Jackson Hospital , WV | — | — | 17555% |
| HealthSource Saginaw , MI | — | — | 6094% |
| HealthSource Saginaw , MI | — | — | 6094% |
| Penn State Health Rehabilitation Hospital , PA | $82 | — | 3221% |
| Bienville Medical Center , LA | $936 | $562 | 3121% |
| Perry County Memorial Hospital , IN | $525 | $368 | 1707% |
| Arizona Spine & Joint Hospital , AZ | $354 | — | 1119% |
| Fairmont Hospital , CA | $297 | $149 | 923% |
| Baylor - Dallas Dallas, TX | — | — | 922% |
| Baylor - Fort Worth Fort Worth, TX | — | — | 922% |
| Baylor - Frisco Frisco, TX | — | — | 922% |
Were you billed for this procedure?
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About CPT 97116
CPT code 97116 refers to “Gait training therapy”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $29 in a facility (hospital or ambulatory surgery center) and $29in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.