CMS Price Transparency Data

Physical therapy (gait training)

Facility: George C Grape Community Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$85
about 2.9× the $29 Medicare rate · typically $30–$156
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
About the fair price
about $2 over the fair price · 3.0× Medicare
Medicare pays $29 Fair price $85 This hospital $87 Cash price $93 Hospital's list price $103

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 $87

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 $85 (about 2.9× the $29 Medicare rate). George C Grape Community Hospital charges insurers about $87, or about $93 in cash — about the fair price. Located in Hamburg, IA.

What each insurance company pays

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

5 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 $98 337%
Blue Cross Blue Shieldmajor $83 - $91 286%
Aetnamajor $96 330%
Cignamajor $100 344%
Humanamajor $52 179%
+ 1 smaller / regional plan $98

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Facility Profile & Credentials

  • Address: 2959 Us Highway 275, Hamburg, IA 51640
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals