CMS Price Transparency Data

Physical therapy (gait training)

Facility: St Mary's Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$91
about 3.1× the $29 Medicare rate · typically $29–$126
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $7 over the fair price · 3.4× Medicare
Medicare pays $29 Fair price $91 This hospital $98 Cash price $74 Hospital's list price $98

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $25 Priciest $98

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

A fair price for a Physical therapy (gait training) is about $91 (about 3.1× the $29 Medicare rate). St Mary's Hospital charges insurers about $98, or about $74 in cash — about the fair price. Located in Cottonwood, ID.

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 $80 275%
Blue Cross Blue Shieldmajor $70 - $98 241%
Aetnamajor $80 - $91 275%
GEHA $95 327%
+ 4 smaller / regional plans $81 - $96
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 701 Lewiston St, Cottonwood, ID 83522
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals