CMS Price Transparency Data

Physical therapy (gait training)

Facility: The Women's Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$27
about 0.9× the $29 Medicare rate · typically $23–$28
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $29 Fair price $27 This hospital $28 Cash price $81 Hospital's list price $138

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 $28

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 $27 (about 0.9× the $29 Medicare rate). The Women's Hospital charges insurers about $28, or about $81 in cash — about the fair price. Located in Newburgh, 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 $15 - $110 52%
Blue Cross Blue Shieldmajor $19 - $84 65%
Aetnamajor $15 - $92 52%
Cignamajor $43 - $99 148%
Humanamajor $15 - $32 52%
Ambetter (Centene) $32 - $83 110%
CareSource $28 - $36 96%
HealthLink $43 - $117 148%
Meridian $19 - $28 65%
Molina $15 - $32 52%
WellCare $15 - $32 52%
+ 17 smaller / regional plans $18 - $107
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: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals