Physical therapy (gait training)
Facility: Mercyone Dubuque Medical Center
Billing Code: 97116 (CPT)
- CPT Billing Code: 97116
- Insurance Median: $54
- Cash Discount Price: $2,053
- vs. Medicare Baseline: 1.86x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Bcn Domestic | $7 | 24% |
| Blue Benefit Administrators Of Massachusetts | $7 | 24% |
| Blue Care Network | $7 | 24% |
| Blue Cross Blue Shield | $7 - $12,632 | 24% |
| Blue Distinction Transplant | $7 | 24% |
| Blue Shield - Ca | $7 | 24% |
| Blue Shield - Id (Regence) | $7 | 24% |
| Blue Shield - Ny Highmark Northeastern | $7 | 24% |
| Blue Shield - Ny Highmark Western | $7 | 24% |
| Blue Shield - Pa (Highmark) | $7 | 24% |
| Blue Shield - Wa (Regence) | $7 | 24% |
| Kaiser Domestic | $7 | 24% |
| Pre-Employment | $7 | 24% |
| Wc Domestic | $7 | 24% |
| Iowa Dept Of Public Health | $9 - $140 | 31% |
| Stephenson Cty Health | $9 - $140 | 31% |
| Iowa Total Care | $22 - $44 | 76% |
| Medicaid / KanCare | $22 - $45 | 76% |
| Aetna | $27 - $12,507 | 93% |
| Medicare (plans) | $27 - $13,018 | 93% |
| UnitedHealthcare | $28 - $12,758 | 96% |
| Amish Hospital Aid | $37 - $16,974 | 127% |
| Oscar | $38 - $17,411 | 131% |
| Centivo | $44 - $19,986 | 151% |
| Ambetter / Centene | $47 - $21,441 | 162% |
| Preferred Health Choice | $50 | 172% |
| Health Choices | $51 | 175% |
| Claimdoc | $56 - $25,653 | 193% |
| Nova | $56 - $25,653 | 193% |
| Midlands Choice | $81 - $126 | 279% |
| Wps | $84 | 289% |
| The Alliance | $85 | 292% |
| Mhnet | $112 | 385% |
| 1199 National Benefit Fund | $117 | 403% |
| Allied Benefit Systems | $117 | 403% |
| Asr Health Benefits | $117 | 403% |
| Christian Brother Services | $117 | 403% |
| Coventry | $117 | 403% |
| First Health | $117 | 403% |
| Lucent Health | $117 | 403% |
| Luminare Health | $117 | 403% |
| Medical Mutual | $117 | 403% |
| Meritain | $117 | 403% |
| Trustmark Small Business Benefits | $117 | 403% |
| Webtpa | $117 | 403% |
| Auxiant | $126 | 434% |
| Cigna | $126 | 434% |
| Medica | $126 | 434% |
| Midlands | $126 | 434% |
| Multiplan | $126 | 434% |
| Unity | $126 | 434% |
| Crime Victim Assistance | $140 | 482% |
| Geha | $231 | 795% |