CMS Price Transparency Data

Physical therapy (gait training)

Facility: Doctors Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$26
about 0.9× the $29 Medicare rate · typically $25–$32
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $29 Fair price $26 This hospital $27 Cash price $345 Hospital's list price $345

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 1 charge more and 3 charge less, among the 9 GA hospitals compared.

Cheapest $19 Priciest $28

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (gait training) is about $26 (about 0.9× the $29 Medicare rate). Doctors Hospital charges insurers about $27, or about $345 in cash — about the fair price. Located in Augusta, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $24 - $160 83%
Blue Cross Blue Shieldmajor $25 - $28 86%
Aetnamajor $25 - $196 86%
Cignamajor $43 - $81 148%
Humanamajor $24 - $28 83%
Kaiser Permanentemajor $188 - $194 647%
Ambetter (Centene) $50 - $52 172%
Amerigroup $49 - $50 169%
Cigna HealthSpring $25 - $28 86%
Clover Health $26 - $29 89%
Devoted Health $24 - $28 83%
Friday Health $58 - $60 200%
Health Net $24 - $284 83%
WellCare $25 - $71 86%
+ 15 smaller / regional plans $15 - $320
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals