CMS Price Transparency Data

Physical therapy (gait training)

Facility: Intermountain Health Platte Valley Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$41
about 1.4× the $29 Medicare rate · typically $30–$101
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $11 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $41 This hospital $30 Hospital's list price $117

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

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

Cheapest $27 Priciest $30

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

A fair price for a Physical therapy (gait training) is about $41 (about 1.4× the $29 Medicare rate). Intermountain Health Platte Valley Hospital charges insurers about $30 — below the fair price — a good deal. Located in Brighton, CO.

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 $30 - $86 103%
Blue Cross Blue Shieldmajor $46 - $91 158%
Aetnamajor $93 320%
Cignamajor $42 - $81 145%
Humanamajor $49 169%
GEHA $86 - $93 296%
SelectHealth $30 103%
+ 1 smaller / regional plan $30
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: 1600 Prairie Center Pkwy, Brighton, CO 80601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals