CMS Price Transparency Data

Physical therapy (gait training)

Facility: Ellsworth County Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$68
about 2.3× the $29 Medicare rate · typically $32–$114
modeled estimate · not a bill or quote
What this hospital charges insurers
$68
About the fair price
2.3× Medicare
Medicare pays $29 Fair price $68 This hospital $68 Cash price $68 Hospital's list price $68

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 $68

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 $68 (about 2.3× the $29 Medicare rate). Ellsworth County Medical Center charges insurers about $68, or about $68 in cash — about the fair price. Located in Ellsworth, KS.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $44 - $68 151%
Blue Cross Blue Shieldmajor $44 - $46 151%
Aetnamajor $61 - $68 210%
Cignamajor $65 224%
Humanamajor $32 - $65 110%
+ 3 smaller / regional plans $32 - $102
Government programs also on file: Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1604 Aylward Avenue, Ellsworth, KS 67439
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals