CMS Price Transparency Data

Physical therapy (gait training)

Facility: Indiana University Health White Memorial Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$82
about 2.8× the $29 Medicare rate · typically $39–$105
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $11 over the fair price · 3.2× Medicare
Medicare pays $29 Fair price $82 This hospital $93 Cash price $52 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 $93

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 $82 (about 2.8× the $29 Medicare rate). Indiana University Health White Memorial Hospital charges insurers about $93, or about $52 in cash — about the fair price. Located in Monticello, 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✓ Cigna HumanaKaiser 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 $78 - $186 268%
Blue Cross Blue Shieldmajor $54 - $186 186%
Aetnamajor $79 - $113 272%
Cignamajor $86 - $123 296%
CareSource $186 640%
Health Net $50 - $136 172%
+ 9 smaller / regional plans $71 - $186
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: 720 South Sixth St, Monticello, IN 47960
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals