CPT 97116 Physical Therapy/Rehab

How Much Does Physical Therapy - Gait Training Therapy Cost?

Also known as: Gait training therapy (CPT 97116)

A physical therapy session focused on gait (walking) training to improve your ability to walk safely.

Physical Therapy - Gait Training Therapy (CPT 97116) costs $29 at Medicare rates.

Medicare (Facility)
$29
CMS PFS 2026 national rate

Patient Guide: Physical Therapy - Gait Training Therapy

What you need to know before your appointment

What to Expect

The physical therapist will work with you on walking technique, balance during walking, use of assistive devices (like walkers or canes), and gradually increasing your walking ability.

How Long Does It Take?

15 minutes per unit (typically 1-2 units)

Common Reasons Doctors Order This

Recovery after hip or knee replacement, stroke rehabilitation, balance problems, learning to use a walker or cane, fall prevention

How to Prepare

Wear sturdy, supportive shoes. Bring any walking aids (cane, walker) you have been given. Wear comfortable pants.

Procedures Commonly Done Together

These procedures are frequently performed alongside Gait training therapy

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How to Reduce Your Cost for Gait training therapy

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.45
Work RVU
0.41
Practice Expense RVU
0.01
Malpractice RVU
0.87
Total RVU

Payment = Total RVU (0.87) x CF ($33.40) = $29

Frequently Asked Questions

How much does Gait training therapy cost?

The Medicare facility rate for Gait training therapy is $29. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Gait training therapy cost without insurance?

Without insurance, the cost of Gait training therapy can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Gait training therapy?

Most commercial health insurance plans and Medicare cover Gait training therapy when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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