CMS Price Transparency Data

Physical therapy (gait training)

Facility: North Hawaii Community Hospital, Inc

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 1.0× the $29 Medicare rate · typically $27–$32
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $2 over the fair price · 1.1× Medicare
Medicare pays $29 Fair price $29 This hospital $31 Cash price $88 Hospital's list price $125

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 2 charge more and 4 charge less, among the 9 HI hospitals compared.

Cheapest $17 Priciest $34

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

A fair price for a Physical therapy (gait training) is about $29 (about 1.0× the $29 Medicare rate). North Hawaii Community Hospital, Inc charges insurers about $31, or about $88 in cash — about the fair price. Located in Kamuela, HI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 $31 107%
Kaiser Permanentemajor $31 - $86 107%
+ 4 smaller / regional plans $26 - $42

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Facility Profile & Credentials

  • Address: 67 1125 Mamalahoa Highway, Kamuela, HI 96743
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals