CMS Price Transparency Data

Physical therapy (gait training)

Facility: Ascension St Vincent Mercy

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $21–$66
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
Below the fair price — a good deal
about $9 under the fair price · 0.7× Medicare
Medicare pays $29 Fair price $30 This hospital $21 Cash price $92 Hospital's list price $154

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

One of the lower prices — 0 of 8 other IN hospitals charge more for the same procedure.

Cheapest $21 Priciest $21

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (gait training) is about $30 (about 1.0× the $29 Medicare rate). Ascension St Vincent Mercy charges insurers about $21, or about $92 in cash — below the fair price — a good deal. Located in Elwood, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $5 - $35 17%
Blue Cross Blue Shieldmajor $20 - $21 69%
+ 5 smaller / regional plans $20 - $22
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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

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Facility Profile & Credentials

  • Address: 1331 S A St, Elwood, IN 46036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals