CMS Price Transparency Data

Physical therapy (gait training)

Facility: Nemaha Valley Community Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$52
about 1.8× the $29 Medicare rate · typically $33–$101
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Below the fair price — a good deal
about $6 under the fair price · 1.6× Medicare
Medicare pays $29 Fair price $52 This hospital $46 Cash price $87 Hospital's list price $97

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $46

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

A fair price for a Physical therapy (gait training) is about $52 (about 1.8× the $29 Medicare rate). Nemaha Valley Community Hospital charges insurers about $46, or about $87 in cash — below the fair price — a good deal. Located in Seneca, KS.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $46 158%
Aetnamajor $43 - $82 148%
Humanamajor $43 148%
HealthPartners $92 317%
+ 2 smaller / regional plans $47 - $50
Government programs also on file: Military & VA.
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: 1600 Community Dr, Seneca, KS 66538
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals