CMS Price Transparency Data

Physical therapy (gait training)

Facility: Norton Scott Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.7× the $29 Medicare rate · typically $24–$113
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $20 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $48 This hospital $28 Cash price $32 Hospital's list price $160

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 $28

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 $48 (about 1.7× the $29 Medicare rate). Norton Scott Hospital charges insurers about $28, or about $32 in cash — below the fair price — a good deal. Located in Scottsburg, 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 $28 - $95 96%
Blue Cross Blue Shieldmajor $35 - $94 120%
Aetnamajor $101 348%
Cignamajor $136 468%
CareSource $58 200%
Health Net $136 - $144 468%
Molina $28 - $29 96%
UniCare $40 138%
+ 3 smaller / regional plans $38
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1451 N Gardner St, Scottsburg, IN 47170
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals