CMS Price Transparency Data

Physical therapy (gait training)

Facility: Wellstar Windy Hill Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$31
about 1.1× the $29 Medicare rate · typically $29–$91
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
1.1× Medicare
Medicare pays $29 Fair price $31 This hospital $31 Cash price $83 Hospital's list price $213

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $19 Priciest $31

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

A fair price for a Physical therapy (gait training) is about $31 (about 1.1× the $29 Medicare rate). Wellstar Windy Hill Hospital charges insurers about $31, or about $83 in cash — about the fair price. Located in Marietta, GA.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $29 100%
Aetnamajor $29 100%
Cignamajor $30 103%
Ambetter (Centene) $51 175%
CareSource $56 193%
Clover Health $31 107%
Oscar Health $53 182%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2540 Windy Hill Rd Se, Marietta, GA 30067
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL