CMS Price Transparency Data

Physical therapy (gait training)

Facility: CHI Saint Joseph Berea Nf

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$85
about 2.9× the $29 Medicare rate · typically $49–$92
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
About the fair price
about $7 under the fair price · 2.7× Medicare
Medicare pays $29 Fair price $85 This hospital $78 Cash price $74 Hospital's list price $153

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $13 Priciest $78

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 $85 (about 2.9× the $29 Medicare rate). CHI Saint Joseph Berea Nf charges insurers about $78, or about $74 in cash — about the fair price. Located in Berea, KY.

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 $39 - $92 134%
Blue Cross Blue Shieldmajor $38 - $55 131%
Aetnamajor $39 - $136 134%
Cignamajor $93 - $117 320%
Humanamajor $38 - $99 131%
CareSource $76 - $95 262%
Molina $40 - $54 138%
WellCare $37 - $48 127%
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: 305 Estill Street, Berea, KY 40403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals