CMS Price Transparency Data

Physical therapy (gait training)

Facility: Major Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$57
about 2.0× the $29 Medicare rate · typically $30–$117
modeled estimate · not a bill or quote
What this hospital charges insurers
$56
About the fair price
about $1 under the fair price · 1.9× Medicare
Medicare pays $29 Fair price $57 This hospital $56 Cash price $46 Hospital's list price $148

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $21 Priciest $56

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

A fair price for a Physical therapy (gait training) is about $57 (about 2.0× the $29 Medicare rate). Major Hospital charges insurers about $56, or about $46 in cash — about the fair price. Located in Shelbyville, IN.

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 $96 330%
Blue Cross Blue Shieldmajor $73 - $148 251%
Aetnamajor $124 427%
Cignamajor $147 506%
Humanamajor $133 458%
Ambetter (Centene) $56 193%
CareSource $53 182%
+ 2 smaller / regional plans $82 - $129
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2451 Intelliplex Dr, Shelbyville, IN 46176
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals