CMS Price Transparency Data
Physical therapy (gait training)
Facility: Winnmed
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$88
about 3.0× the $29 Medicare rate · typically $32–$142
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $88 Cash price $81 Hospital's list price $116
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 | $68 | 234% |
| Blue Cross Blue Shieldmajor | $94 - $250 | 323% |
| Aetnamajor | $104 - $113 | 358% |
| HealthPartners | $106 | 365% |
| Medica | $106 - $110 | 365% |
| + 1 smaller / regional plan | $110 |
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Other Procedures at Winnmed
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.