CMS Price Transparency Data
Physical therapy (gait training)
Facility: Pulaski Memorial Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$43
about 1.5× the $29 Medicare rate · typically $23–$135
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $43 Cash price $107 Hospital's list price $152
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 | $47 - $152 | 162% |
| Blue Cross Blue Shieldmajor | $47 - $152 | 162% |
| Aetnamajor | $55 | 189% |
| Cignamajor | $145 | 499% |
| Humanamajor | $48 - $122 | 165% |
| Ambetter (Centene) | $47 | 162% |
| CareSource | $47 - $152 | 162% |
| + 11 smaller / regional plans | $47 - $152 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Pulaski Memorial Hospital
Compare: Physical therapy (gait training) at other IN hospitals
- Ascension St Vincent Kokomo · Kokomo $21
- Ascension St Vincent Anderson · Anderson $21
- Ascension St Vincent Evansville · Evansville $21
- St Vincent Heart Center · Carmel $21
- Ascension St Vincent Carmel · Carmel $21
- Ascension St Vincent Fishers · Fishers $21
- Ascension St Vincent Randolph · Winchester $21
- Ascension St Vincent Jennings · North Vernon $21
Insurance negotiated median for the same procedure, sorted lowest first.