CMS Price Transparency Data

Physical therapy (gait training)

Facility: Crittenden Community Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $24–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $29 Fair price $30 This hospital $27 Cash price $59 Hospital's list price $118

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 6 of 8 other KY hospitals charge less.

Cheapest $13 Priciest $28

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

A fair price for a Physical therapy (gait training) is about $30 (about 1.0× the $29 Medicare rate). Crittenden Community Hospital charges insurers about $27, or about $59 in cash — about the fair price. Located in Marion, KY.

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 $175 602%
Blue Cross Blue Shieldmajor $24 - $89 83%
Aetnamajor $96 330%
Cignamajor $96 330%
Ambetter (Centene) $60 206%
WellCare $22 - $25 76%
+ 1 smaller / regional plan $39
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 520 West Gum Street, Marion, KY 42064
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Rural Emergency Hospital