CMS Price Transparency Data

Physical therapy (gait training)

Facility: Trinity Health Muskegon Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 1.0× the $29 Medicare rate · typically $28–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $29 This hospital $28 Cash price $80 Hospital's list price $123

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 0 charge more and 5 charge less, among the 9 MI hospitals compared.

Cheapest $14 Priciest $28

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

A fair price for a Physical therapy (gait training) is about $29 (about 1.0× the $29 Medicare rate). Trinity Health Muskegon Hospital charges insurers about $28, or about $80 in cash — about the fair price. Located in Muskegon, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $29 - $108 100%
Blue Cross Blue Shieldmajor $15 - $60 52%
Aetnamajor $27 - $83 93%
Cignamajor $77 265%
Humanamajor $97 334%
Kaiser Permanentemajor $60 206%
AmeriHealth $97 334%
CareSource $77 265%
Dean Health Plan $92 317%
GEHA $83 - $108 286%
Medical Mutual $97 334%
Molina $36 124%
MVP Health Care $92 317%
Oscar Health $36 124%
Paramount $92 317%
Priority Health $70 - $79 241%
UniCare $97 334%
+ 139 smaller / regional plans $20 - $123
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1500 E Sherman Blvd, Muskegon, MI 49441
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals