CMS Price Transparency Data

Physical therapy (gait training)

Facility: Ochsner Choctaw General

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.3× the $29 Medicare rate · typically $28–$55
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $5 over the fair price · 1.5× Medicare
Medicare pays $29 Fair price $38 This hospital $43 Cash price $117 Hospital's list price $154

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $11 Priciest $43

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 $38 (about 1.3× the $29 Medicare rate). Ochsner Choctaw General charges insurers about $43, or about $117 in cash — about the fair price. Located in Butler, 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 $26 - $110 89%
Blue Cross Blue Shieldmajor $25 - $100 86%
Aetnamajor $37 - $100 127%
Cignamajor $27 - $75 93%
Humanamajor $22 - $69 76%
Ambetter (Centene) $70 241%
WellCare $27 - $69 93%
+ 5 smaller / regional plans $28 - $126
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 401 Vanity Fair Lane, Po Box 618, Butler, AL 36904
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals