CMS Price Transparency Data

Physical therapy (gait training)

Facility: Iu Health West Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.4× the $29 Medicare rate · typically $26–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$70
Above the fair price
about $28 over the fair price · 2.4× Medicare
Medicare pays $29 Fair price $42 This hospital $70 Cash price $47 Hospital's list price $166

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 $70

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 $42 (about 1.4× the $29 Medicare rate). Iu Health West Hospital charges insurers about $70, or about $47 in cash — above the fair price. Located in Avon, IN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $42. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $28 - $186 96%
Blue Cross Blue Shieldmajor $28 - $186 96%
Aetnamajor $28 - $169 96%
Cignamajor $94 - $145 323%
Humanamajor $28 96%
Ambetter (Centene) $46 158%
CareSource $42 - $186 145%
Health Net $70 - $170 241%
WellCare $28 96%
+ 13 smaller / regional plans $28 - $186
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: 1111 N Ronald Reagan Pkwy, Avon, IN 46123
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals