CMS Price Transparency Data

Physical therapy (gait training)

Facility: Hawarden Regional Healthcare

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$93
about 3.2× the $29 Medicare rate · typically $31–$172
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $55 under the fair price · 1.3× Medicare
Medicare pays $29 Fair price $93 This hospital $38 Cash price $64 Hospital's list price $75

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $22 Priciest $38

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

A fair price for a Physical therapy (gait training) is about $93 (about 3.2× the $29 Medicare rate). Hawarden Regional Healthcare charges insurers about $38, or about $64 in cash — below the fair price — a good deal. Located in Hawarden, IA.

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✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $38 - $73 131%
Blue Cross Blue Shieldmajor $38 131%
HealthPartners $73 251%
Oscar Health $57 196%
+ 1 smaller / regional plan $71

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Facility Profile & Credentials

  • Address: 1111 11Th Street, Hawarden, IA 51023
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals