CMS Price Transparency Data

Physical therapy (gait training)

Facility: Southeast Health Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$27
about 0.9× the $29 Medicare rate · typically $27–$28
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
About the fair price
0.9× Medicare
Medicare pays $29 Fair price $27 This hospital $27 Cash price $35 Hospital's list price $86

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

A typical price — 0 charge more and 5 charge less, among the 9 AL hospitals compared.

Cheapest $11 Priciest $27

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $27 (about 0.9× the $29 Medicare rate). Southeast Health Medical Center charges insurers about $27, or about $35 in cash — about the fair price. Located in Dothan, AL.

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 $27 - $116 93%
Blue Cross Blue Shieldmajor $27 93%
Aetnamajor $27 93%
Cignamajor $27 93%
Humanamajor $27 93%
Ambetter (Centene) $37 127%
Security Health Plan $27 93%
WellCare $27 93%
+ 4 smaller / regional plans $27 - $38
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1108 Ross Clark Circle, Dothan, AL 36301
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals