CMS Price Transparency Data

Physical therapy (gait training)

Facility: Chelsea Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.5× the $29 Medicare rate · typically $20–$52
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
About the fair price
about $2 under the fair price · 1.4× Medicare
Medicare pays $29 Fair price $43 This hospital $41 Cash price $96 Hospital's list price $148

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $14 Priciest $41

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 $43 (about 1.5× the $29 Medicare rate). Chelsea Hospital charges insurers about $41, or about $96 in cash — about the fair price. Located in Chelsea, 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 $30 - $99 103%
Blue Cross Blue Shieldmajor $16 - $55 55%
Aetnamajor $28 - $101 96%
Cignamajor $104 358%
Humanamajor $98 337%
Kaiser Permanentemajor $55 189%
AmeriHealth $98 337%
CareSource $71 244%
Dean Health Plan $111 382%
GEHA $81 - $99 279%
Health Net $148 509%
HealthPartners $115 396%
MagnaCare $98 337%
Medical Mutual $98 337%
Molina $38 131%
MVP Health Care $111 382%
Paramount $111 382%
Priority Health $51 - $57 175%
Tufts Health Plan $115 396%
UniCare $98 337%
+ 124 smaller / regional plans $29 - $148
Government programs also on file: Medicare, Medicaid.
Excludes 10 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 775 S Main St, Chelsea, MI 48118
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals