CMS Price Transparency Data

Physical therapy (gait training)

Facility: Cox Medical Centers

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $27–$76
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $30 This hospital $29 Cash price $28 Hospital's list price $109

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 $29

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 $30 (about 1.0× the $29 Medicare rate). Cox Medical Centers charges insurers about $29, or about $28 in cash — about the fair price. Located in Springfield, MO.

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✓ Cigna✓ Humana AetnaKaiser 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 $27 - $254 93%
Blue Cross Blue Shieldmajor $28 96%
Cignamajor $326 1122%
Humanamajor $27 93%
Devoted Health $29 100%
Health Net $27 93%
+ 6 smaller / regional plans $27 - $136

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Facility Profile & Credentials

  • Address: 3801 South National Avenue, Springfield, MO 65807
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals