CMS Price Transparency Data

Physical therapy (gait training)

Facility: Borgess Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$28
about 1.0× the $29 Medicare rate · typically $27–$29
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
1.0× Medicare
Medicare pays $29 Fair price $28 This hospital $28 Cash price $83 Hospital's list price $127

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 $28 (about 1.0× the $29 Medicare rate). Borgess Medical Center charges insurers about $28, or about $83 in cash — about the fair price. Located in Kalamazoo, MI.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $15 - $113 52%
Blue Cross Blue Shieldmajor $28 - $91 96%
Aetnamajor $15 - $113 52%
Humanamajor $28 96%
Devoted Health $22 - $29 76%
Meridian $28 - $146 96%
Molina $15 - $44 52%
Priority Health $15 - $133 52%
+ 3 smaller / regional plans $15 - $128

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Facility Profile & Credentials

  • Address: 1521 Gull Road, Kalamazoo, MI 49048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals