CMS Price Transparency Data

Physical therapy (gait training)

Facility: Neshoba County General Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$28
about 1.0× the $29 Medicare rate · typically $26–$38
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $29 Fair price $28 This hospital $27 Cash price $48 Hospital's list price $68

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

A typical price — 0 charge more and 5 charge less, among the 9 MS hospitals compared.

Cheapest $20 Priciest $27

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 $28 (about 1.0× the $29 Medicare rate). Neshoba County General Hospital charges insurers about $27, or about $48 in cash — about the fair price. Located in Philadelphia, 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 $25 - $134 86%
Blue Cross Blue Shieldmajor $54 186%
Aetnamajor $34 117%
Cignamajor $75 258%
Humanamajor $27 93%
GEHA $61 210%
Molina $25 - $27 86%
WellCare $27 93%
+ 9 smaller / regional plans $25 - $85
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL