CMS Price Transparency Data

Physical therapy (gait training)

Facility: Jefferson County Health Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 3.3× the $29 Medicare rate · typically $31–$150
modeled estimate · not a bill or quote
What this hospital charges insurers
$99
About the fair price
about $4 over the fair price · 3.4× Medicare
Medicare pays $29 Fair price $95 This hospital $99 Cash price $62 Hospital's list price $104

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 $99

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 $95 (about 3.3× the $29 Medicare rate). Jefferson County Health Center charges insurers about $99, or about $62 in cash — about the fair price. Located in Fairfield, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $35 - $94 120%
Blue Cross Blue Shieldmajor $90 310%
Aetnamajor $51 - $94 175%
Humanamajor $42 145%
Amerigroup $42 145%
Molina $42 - $104 145%
+ 4 smaller / regional plans $42 - $85
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2000 S Main, Fairfield, IA 52556
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals