CMS Price Transparency Data
Physical therapy (gait training)
Facility: Wayne County Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$90
about 3.1× the $29 Medicare rate · typically $31–$167
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $90 Cash price $106 Hospital's list price $106
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $40 | 138% |
| Blue Cross Blue Shieldmajor | $118 - $129 | 406% |
| Aetnamajor | $35 - $102 | 120% |
Self-Pay How to get the cash price
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Other Procedures at Wayne County Hospital
Compare: Physical therapy (gait training) at other IA hospitals
- University of Iowa Health Care Medical Center Down · Iowa City $22
- University of Iowa Hospital & Clinics · Iowa City $22
- Ottumwa Regional Health Center · Ottumwa $22
- Guthrie County Hospital · Guthrie Center $28
- Unitypoint Health - Marshalltown · Marshalltown $29
- Trinity Muscatine · Muscatine $29
- St Lukes Hospital · Cedar Rapids $29
- Mercy Medical Center - Cedar Rapids · Cedar Rapids $29
Insurance negotiated median for the same procedure, sorted lowest first.