Physical therapy (gait training)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 97116 (CPT)
- CPT Billing Code: 97116
- Insurance Median: $56
- Cash Discount Price: $108
- vs. Medicare Baseline: 1.93x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $29.06 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $21 - $27 | 72% |
| Healthy Blue Kansas | $24 - $27 | 83% |
| Medicaid / KanCare | $24 - $81 | 83% |
| United | $24 - $115 | 83% |
| Healthy Blue Missouri | $25 | 86% |
| Home State Health Plan | $25 | 86% |
| United Community Of Missouri | $25 | 86% |
| Blue Cross Blue Shield | $27 - $65 | 93% |
| Ilumed Aco Reach | $27 | 93% |
| Humana | $27 | 93% |
| Missouri Healthnet | $29 | 100% |
| Velocity | $33 - $81 | 114% |
| Prime Health Services | $36 - $92 | 124% |
| Americas Choice Provider Network | $75 | 258% |
| Usa Managed Care Organization | $81 | 279% |
| Quiktrip Corporation | $81 | 279% |
| Provider Network Of America | $81 | 279% |
| Multiplan-Phcs | $86 | 296% |
| Medincrease | $97 | 334% |
| Cigna | $104 | 358% |
| Providrs Care | $115 | 396% |
Consumer Guidance & Cost Commentary
For the Physical therapy (gait training) service at the Rehabilitation Hospital Of Overland Park, the cash price is $108.00, which matches the facility's cash median. This rate is significantly higher than the state average for this procedure, which is $42.00. While commercial insurance plans like Aetna and Healthy Blue Kansas negotiate rates between $21 and $27, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying cash upfront can be more cost-effective than relying on insurance reimbursement, provided you verify your specific plan's allowed amount before scheduling.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is important to note that even though many payers have negotiated rates, the facility's gross charge is $108.00, and commercial rates generally reflect administrative costs and contract dynamics that can inflate the baseline price. To ensure you are receiving the most accurate pricing, always request an itemized bill rather than accepting a summary invoice, and confirm whether your specific insurance plan has met its deductible before incurring the negotiated rate.