CMS Price Transparency Data
Physical therapy (gait training)
Facility: Gateway Rehabilitation Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$39
about 1.3× the $29 Medicare rate · typically $25–$90
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $39 Hospital's list price $161
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 | $100 - $222 | 344% |
| Blue Cross Blue Shieldmajor | $100 - $222 | 344% |
| Aetnamajor | $100 - $222 | 344% |
| Cignamajor | $100 - $222 | 344% |
| Humanamajor | $100 - $222 | 344% |
| CareSource | $100 - $222 | 344% |
| Devoted Health | $100 - $222 | 344% |
| Molina | $100 - $222 | 344% |
| WellCare | $100 - $222 | 344% |
| + 1 smaller / regional plan | $100 - $222 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Gateway Rehabilitation Hospital
Compare: Physical therapy (gait training) at other KY hospitals
- Monroe County Medical Center · Tompkinsville $13
- Three Rivers Medical Center · Louisa $15
- Breckinridge Memorial Hospital · Hardinsburg $15
- Kentucky River Medical Center · Jackson $21
- King's Daughters' Medical Center · Ashland $26
- Baptist Health Deaconess Madisonville · Madisonville $26
- Norton Hospitals, Inc · Louisville $27
- Crittenden Community Hospital · Marion $27
Insurance negotiated median for the same procedure, sorted lowest first.