CMS Price Transparency Data
Physical therapy (gait training)
Facility: Cox Monett Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$44
about 1.5× the $29 Medicare rate · typically $29–$141
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $44 Cash price $41 Hospital's list price $136
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✓ Cigna AetnaHumanaKaiser 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 | $254 - $296 | 874% |
| Blue Cross Blue Shieldmajor | $133 | 458% |
| Cignamajor | $289 | 994% |
| + 2 smaller / regional plans | $100 - $136 |
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Other Procedures at Cox Monett Hospital
Compare: Physical therapy (gait training) at other MO hospitals
- Lafayette Regional Health Center · Lexington $25
- Mercy Hospital Joplin · Joplin $26
- Mosaic Life Care at St Joseph · Saint Joseph $26
- Mercy Hospital Washington · Washington $26
- Mercy Hospital Lebanon · Lebanon $26
- Mercy Hospital Springfield · Springfield $26
- Saint Francis Medical Center · Cape Girardeau $26
- Putnam County Memorial Hospital · Unionville $26
Insurance negotiated median for the same procedure, sorted lowest first.