CMS Price Transparency Data

Physical therapy (gait training)

Facility: Witham Health Services

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$47
about 1.6× the $29 Medicare rate · typically $27–$90
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
About the fair price
about $6 over the fair price · 1.8× Medicare
Medicare pays $29 Fair price $47 This hospital $53 Cash price $107 Hospital's list price $153

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 $53

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 $47 (about 1.6× the $29 Medicare rate). Witham Health Services charges insurers about $53, or about $107 in cash — about the fair price. Located in Lebanon, IN.

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✓ Humana CignaKaiser 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 $120 - $122 413%
Blue Cross Blue Shieldmajor $28 - $156 96%
Aetnamajor $29 - $116 100%
Humanamajor $133 - $146 458%
CareSource $28 - $53 96%
+ 4 smaller / regional plans $28 - $383
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: 2605 N Lebanon St, Lebanon, IN 46052
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals