CMS Price Transparency Data

Physical therapy (gait training)

Facility: Massac Memorial Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$68
about 2.3× the $29 Medicare rate · typically $40–$74
modeled estimate · not a bill or quote
What this hospital charges insurers
$68
About the fair price
2.3× Medicare
Medicare pays $29 Fair price $68 This hospital $68 Cash price $85 Hospital's list price $122

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $19 Priciest $68

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

A fair price for a Physical therapy (gait training) is about $68 (about 2.3× the $29 Medicare rate). Massac Memorial Hospital charges insurers about $68, or about $85 in cash — about the fair price. Located in Metropolis, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $102 351%
Blue Cross Blue Shieldmajor $61 - $117 210%
Aetnamajor $65 - $100 224%
Cignamajor $101 348%
Humanamajor $65 224%
HealthLink $89 306%
Molina $68 234%
+ 3 smaller / regional plans $65 - $79
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 28 Chick Street, Po Box 850, Metropolis, IL 62960
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals