CMS Price Transparency Data

Physical therapy (gait training)

Facility: Garrison Memorial Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$89
about 3.1× the $29 Medicare rate · typically $36–$107
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $9 over the fair price · 3.4× Medicare
Medicare pays $29 Fair price $89 This hospital $98 Cash price $78 Hospital's list price $115

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

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

Cheapest $29 Priciest $98

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

A fair price for a Physical therapy (gait training) is about $89 (about 3.1× the $29 Medicare rate). Garrison Memorial Hospital charges insurers about $98, or about $78 in cash — about the fair price. Located in Garrison, ND.

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✓ Humana AetnaCignaKaiser 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 $58 - $85 200%
Blue Cross Blue Shieldmajor $59 - $100 203%
Humanamajor $58 200%
HealthPartners $98 337%
Medica $58 - $100 200%
Sanford Health Plan $109 375%
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: 407 3Rd Ave Se, Garrison, ND 58540
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals