CPT 97116 Physical Therapy/Rehab
Gait training therapy Cost
Body System: Musculoskeletal
Medicare Facility Rate
$29
CMS PFS CY2026
Medicare Non-Facility Rate
$29
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.45
Work RVU
0.41
Facility PE RVU
0.01
Malpractice RVU
0.87
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $38 | $49 — $75 |
| AL — ALABAMA | $27 | $36 — $55 |
| AR — ARKANSAS | $27 | $35 — $54 |
| AZ — ARIZONA | $29 | $37 — $57 |
| CA — BAKERSFIELD | $31 | $40 — $61 |
| CA — CHICO | $31 | $40 — $61 |
| CA — EL CENTRO | $31 | $40 — $61 |
| CA — FRESNO | $31 | $40 — $61 |
| CA — HANFORD-CORCORAN | $31 | $40 — $61 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $32 | $42 — $64 |
| CA — MADERA | $31 | $40 — $61 |
| CA — MERCED | $31 | $40 — $61 |
| CA — MODESTO | $31 | $40 — $61 |
| CA — NAPA | $34 | $45 — $69 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $32 | $42 — $64 |
| CA — REDDING | $31 | $40 — $61 |
| CA — REST OF CALIFORNIA | $31 | $40 — $61 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $31 | $40 — $62 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $32 | $41 — $64 |
| CA — SALINAS | $32 | $41 — $63 |
Frequently Asked Questions
How much does Gait training therapy cost?
The Medicare facility rate is $29. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Gait training therapy cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $29.