CMS Price Transparency Data

Physical therapy (gait training)

Facility: St Luke's Wood River Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$58
about 2.0× the $29 Medicare rate · typically $58–$145
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
About the fair price
about $1 under the fair price · 2.0× Medicare
Medicare pays $29 Fair price $58 This hospital $57 Cash price $72 Hospital's list price $72

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 $57

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 $58 (about 2.0× the $29 Medicare rate). St Luke's Wood River Medical Center charges insurers about $57, or about $72 in cash — about the fair price. Located in Ketchum, ID.

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✓ Cigna HumanaKaiser 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 $43 - $65 148%
Blue Cross Blue Shieldmajor $41 - $62 141%
Aetnamajor $45 - $68 155%
Cignamajor $67 231%
GEHA $65 224%
Moda Health $63 217%
PacificSource $68 234%
+ 2 smaller / regional plans $41 - $70
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 Hospital Drive, Ketchum, ID 83340
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals