Physical therapy (gait training)
Facility: Oakdale Community Hospital
Billing Code: 97116 (CPT)
- CPT Billing Code: 97116
- Insurance Median: $29
- Cash Discount Price: $26
- vs. Medicare Baseline: 1.00x 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 |
|---|---|---|
| Aarp | $18 - $22 | 62% |
| All Savers Insurance | $18 - $22 | 62% |
| Geha | $18 - $22 | 62% |
| United Hc Shared Services | $18 - $22 | 62% |
| UnitedHealthcare | $18 - $29 | 62% |
| Amfirst | $26 | 89% |
| Self Pay | $26 | 89% |
| Aetna | $28 - $74 | 96% |
| Allegiance Hospice | $28 | 96% |
| Allen Oaks Hospice | $28 | 96% |
| Ambetter / Centene | $28 | 96% |
| Blue Cross Blue Shield | $28 - $48 | 96% |
| Champva | $28 | 96% |
| Compassionate Care Hospic | $28 | 96% |
| Correct Care | $28 - $132 | 96% |
| Golden Rule | $28 - $29 | 96% |
| Harbor Hospice | $28 | 96% |
| Healthy Blue Dual Adv | $28 | 96% |
| Heart Of Hospice | $28 | 96% |
| Hos Misc Hospice | $28 | 96% |
| Humana | $28 - $83 | 96% |
| Ice Health Service Corp | $28 | 96% |
| Mcr Lagniappe | $28 | 96% |
| Medicare (plans) | $28 - $29 | 96% |
| Mutual Of Omaha | $28 | 96% |
| Snf Nursing Home | $28 | 96% |
| St Francis Nursing Home | $28 | 96% |
| Triwest | $28 - $132 | 96% |
| Us Family Health Plan | $28 - $132 | 96% |
| Wellcare | $28 | 96% |
| Wellcare Of Louisiana | $28 | 96% |
| Mcr American Hlth Adv | $29 | 100% |
| Medicaid / KanCare | $29 | 100% |
| Meritain | $32 - $74 | 110% |
| Gulf South Risk Svcs Ip | $36 | 124% |
| Integrated Med Solutions | $39 | 134% |
| Hawaii Mainland Administr | $41 | 141% |
| Web-Tpa | $66 | 227% |
| Cigna | $72 - $74 | 248% |
| Ima | $79 - $132 | 272% |
| Ppo Plus | $79 | 272% |
| Wc Gulf South Risk Srvcs | $119 | 409% |
| Wc Martco | $119 | 409% |
| Wc Misc | $119 | 409% |
| Wc Risk Mgmnt-Baton Rouge | $119 | 409% |
| Wc Sedwick Workmans Comp | $119 | 409% |
| Wc Us Department Of Labor | $119 | 409% |
| American Public Life | $132 | 454% |
| American Retirement Life | $132 | 454% |
| Apwu | $132 | 454% |
| Auto Liability | $132 | 454% |
| Bankers Life | $132 | 454% |
| Fox Everitt | $132 | 454% |
| Mailhandlers Benefit Plan | $132 | 454% |
| Medishare | $132 | 454% |
| Medplus | $132 | 454% |
| Misc Commerical | $132 | 454% |
| Phcs | $132 | 454% |
| Physicians Mutual | $132 | 454% |
| State Farm-La | $132 | 454% |
| Usaa | $132 | 454% |