CMS Price Transparency Data

Physical therapy (gait training)

Facility: M Health Fairview Ridges Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$31
about 1.1× the $29 Medicare rate · typically $30–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $31 This hospital $30 Cash price $69 Hospital's list price $163

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $25 Priciest $30

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

A fair price for a Physical therapy (gait training) is about $31 (about 1.1× the $29 Medicare rate). M Health Fairview Ridges Hospital charges insurers about $30, or about $69 in cash — about the fair price. Located in Burnsville, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $28 - $119 96%
Blue Cross Blue Shieldmajor $24 - $100 83%
HealthPartners $24 - $222 83%
Medica $22 - $98 76%
Sanford Health Plan $28 - $98 96%
Security Health Plan $28 - $125 96%
UCare $24 - $79 83%
WellCare $28 96%
+ 5 smaller / regional plans $22 - $150
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 201 East Nicollet Boulevard, Burnsville, MN 55337
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals