CMS Price Transparency Data

Physical therapy (gait training)

Facility: Eaton Rapids Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$32
about 1.1× the $29 Medicare rate · typically $26–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
1.1× Medicare
Medicare pays $29 Fair price $32 This hospital $32 Cash price $47 Hospital's list price $93

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 $32

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 $32 (about 1.1× the $29 Medicare rate). Eaton Rapids Medical Center charges insurers about $32, or about $47 in cash — about the fair price. Located in Eaton Rapids, MI.

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 $62 - $99 213%
Blue Cross Blue Shieldmajor $32 - $131 110%
Aetnamajor $59 - $93 203%
Cignamajor $62 - $99 213%
Humanamajor $32 - $131 110%
Health Net $56 - $89 193%
Priority Health $42 - $99 145%
+ 5 smaller / regional plans $32 - $99
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1500 S Main Street, Eaton Rapids, MI 48827
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals