CMS Price Transparency Data

Physical therapy (gait training)

Facility: Avoyelles Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$26
about 0.9× the $29 Medicare rate · typically $26–$33
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $29 Fair price $26 This hospital $28 Cash price $28 Hospital's list price $93

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

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

Cheapest $11 Priciest $28

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

A fair price for a Physical therapy (gait training) is about $26 (about 0.9× the $29 Medicare rate). Avoyelles Hospital charges insurers about $28, or about $28 in cash — about the fair price. Located in Marksville, LA.

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 $19 - $28 65%
Blue Cross Blue Shieldmajor $46 158%
Aetnamajor $19 - $52 65%
Cignamajor $19 - $52 65%
Humanamajor $26 - $52 89%
AmeriHealth $19 65%
GEHA $22 76%
WellCare $28 96%
+ 99 smaller / regional plans $19 - $92
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4231 Highway 1192, Marksville, LA 71351
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals