CMS Price Transparency Data

Physical therapy (gait training)

Facility: SSM Health St. Mary's Hospital - Jefferson City

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$58
about 2.0× the $29 Medicare rate · typically $46–$76
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
About the fair price
about $3 under the fair price · 1.9× Medicare
Medicare pays $29 Fair price $58 This hospital $55 Cash price $59 Hospital's list price $108

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $25 Priciest $55

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

A fair price for a Physical therapy (gait training) is about $58 (about 2.0× the $29 Medicare rate). SSM Health St. Mary's Hospital - Jefferson City charges insurers about $55, or about $59 in cash — about the fair price. Located in Jefferson City, MO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 96%
Blue Cross Blue Shieldmajor $29 - $117 100%
Humanamajor $29 100%
Ambetter (Centene) $28 96%
+ 4 smaller / regional plans $30 - $51

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Facility Profile & Credentials

  • Address: 2505 Mission Drive, Jefferson City, MO 65109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals