CMS Price Transparency Data

Physical therapy (gait training)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$74
about 2.6× the $29 Medicare rate · typically $39–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
Below the fair price — a good deal
about $8 under the fair price · 2.3× Medicare
Medicare pays $29 Fair price $74 This hospital $66 Hospital's list price $66

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

On the higher side — 7 of 8 other MT hospitals charge less.

Cheapest $28 Priciest $81

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

A fair price for a Physical therapy (gait training) is about $74 (about 2.6× the $29 Medicare rate). Intermountain Health St Vincent Regional Hospital charges insurers about $66 — below the fair price — a good deal. Located in Billings, MT.

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✓ Aetna✓ Cigna HumanaKaiser 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 $33 - $60 114%
Blue Cross Blue Shieldmajor $49 - $88 169%
Aetnamajor $41 - $49 141%
Cignamajor $45 - $59 155%
GEHA $60 206%
HealthPartners $61 210%
PacificSource $59 - $81 203%
+ 10 smaller / regional plans $35 - $89
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1233 N 30Th St, Billings, MT 59107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals