CMS Price Transparency Data

Physical therapy (gait training)

Facility: Bmh-Calhoun

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$43
about 1.5× the $29 Medicare rate · typically $26–$98
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $13 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $43 This hospital $30 Cash price $72 Hospital's list price $139

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

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

Cheapest $20 Priciest $30

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

A fair price for a Physical therapy (gait training) is about $43 (about 1.5× the $29 Medicare rate). Bmh-Calhoun charges insurers about $30, or about $72 in cash — below the fair price — a good deal. Located in Calhoun City, MS.

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 $60 - $155 206%
Blue Cross Blue Shieldmajor $30 - $89 103%
Aetnamajor $35 - $130 120%
Cignamajor $43 - $110 148%
Humanamajor $35 - $160 120%
Devoted Health $34 - $88 117%
Health Net $67 - $172 231%
Molina $34 - $159 117%
+ 59 smaller / regional plans $31 - $180
Government programs also on file: Military & VA.
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: 140 Burke-Calhoun City Road, Calhoun City, MS 38916
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals