CMS Price Transparency Data

Physical therapy (gait training)

Facility: Bingham Memorial Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$49
about 1.7× the $29 Medicare rate · typically $44–$55
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $1 under the fair price · 1.7× Medicare
Medicare pays $29 Fair price $49 This hospital $48 Cash price $67 Hospital's list price $96

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 $48

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 $49 (about 1.7× the $29 Medicare rate). Bingham Memorial Hospital charges insurers about $48, or about $67 in cash — about the fair price. Located in Blackfoot, 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 $72 248%
Blue Cross Blue Shieldmajor $36 - $73 124%
Aetnamajor $86 - $89 296%
PacificSource $58 200%
SelectHealth $72 248%
+ 7 smaller / regional plans $28 - $91
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: 98 Poplar Street, Blackfoot, ID 83221
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals