CMS Price Transparency Data
Physical therapy (gait training)
Facility: Genesis Hlth System DBA Genesis Mdl Ctr-Illini
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.7× the $29 Medicare rate · typically $25–$166
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $48 Cash price $74 Hospital's list price $124
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $290 - $301 | 998% |
| Blue Cross Blue Shieldmajor | $28 - $40 | 96% |
| Oscar Health | $46 | 158% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Genesis Hlth System DBA Genesis Mdl Ctr-Illini
Compare: Physical therapy (gait training) at other IL hospitals
- Ferrell Hospital Community Foundations · Eldorado $19
- Carle Eureka Hospital · Eureka $22
- Carle Hoopeston Regional Health Center · Hoopeston $22
- Alton Memorial Hospital · Alton $28
- OSF Saint Katharine Medical Center · Dixon $28
- Carle Health Proctor Hospital · Peoria $28
- St Anthonys Memorial Hospital · Effingham $28
- West Suburban Medical Center · Oak Park $28
Insurance negotiated median for the same procedure, sorted lowest first.