CMS Price Transparency Data
Physical therapy (gait training)
Facility: Decatur County Memorial Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$108
about 3.7× the $29 Medicare rate · typically $15–$198
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $108 Cash price $117 Hospital's list price $156
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 | $45 - $137 | 155% |
| Blue Cross Blue Shieldmajor | $45 - $156 | 155% |
| Aetnamajor | $53 - $119 | 182% |
| Cignamajor | $120 | 413% |
| CareSource | $48 - $77 | 165% |
| + 8 smaller / regional plans | $45 - $151 |
Government programs also on file: Medicaid.
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Other Procedures at Decatur County 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.