CMS Price Transparency Data
Physical therapy (gait training)
Facility: Fredonia Regional Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$58
about 2.0× the $29 Medicare rate · typically $33–$106
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $58 Cash price $66 Hospital's list price $66
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 | $33 - $217 | 114% |
| Blue Cross Blue Shieldmajor | $32 - $46 | 110% |
| Aetnamajor | $33 - $59 | 114% |
| Cignamajor | $59 | 203% |
| + 1 smaller / regional plan | $59 |
Government programs also on file: Military & VA.
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Other Procedures at Fredonia Regional Hospital
Compare: Physical therapy (gait training) at other KS hospitals
- Hospital District #1 of Rice County · Lyons $22
- Mercy Hospital Pittsburg, Inc · Pittsburg $27
- Mercy Specialty Hospital Southeast Kansas · Galena $27
- Rehabilitation Hospital of Overland Park · Overland Park $27
- McPherson Hospital · McPherson $28
- Ascension Via Christi Hospitals Wichita, Inc. · Wichita $28
- Wesley Medical Center · Wichita $28
- Lmh · Lawrence $28
Insurance negotiated median for the same procedure, sorted lowest first.