CMS Price Transparency Data

Physical therapy (gait training)

Facility: Baptist Memorial Hospital Jonesboro, Inc.

Billing Code: 97116 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97116
Insurance Median: $213
Cash Discount Price: $77
vs. Medicare Baseline: 7.33x Medicare

The contracted insurance negotiated median rate for a Physical therapy (gait training) at Baptist Memorial Hospital Jonesboro, Inc. is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 7.33x the Medicare baseline. Located in 4800 East Johnson Avenue, Jonesboro, AR.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$213

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)

Cash / Self-Pay: $77 (265%)

Insurance Median: $213 (733%)

Cash: $77 (265% of Medicare)

Ins. Median: $213 (733% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.06 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 733% of the Medicare baseline (a markup of 633%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$26 - $128	89%
Cigna	$27 - $111	93%
Humana	$27 - $106	93%
Blue Cross Blue Shield	$30 - $256	103%
Novasys	$63 - $70	217%
Home State Health Plan	$96 - $106	330%
UnitedHealthcare	$130	447%
Ppo Holdings	$145 - $162	499%
Magnolia Regional Health Center	$153 - $170	526%
Multiplan	$164 - $298	564%
Littler	$191 - $213	657%
Ppo Plus	$191 - $341	657%
Access Health Services	$229 - $256	788%
Primewell	$229 - $256	788%
First Choice Health Plan Of Ms	$267 - $298	919%
Municipal Health Benefit Fund	$267 - $298	919%
Mpcn	$286 - $320	984%
Healthlink	$306 - $341	1053%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $77.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97116.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baptist Memorial Hospital Jonesboro, Inc. is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97116.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.