CMS Price Transparency Data

Physical therapy (gait training)

Facility: Jacobson Memorial Hospital Care Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$117
about 4.0× the $29 Medicare rate · typically $36–$137
modeled estimate · not a bill or quote
What this hospital charges insurers
$132
About the fair price
about $15 over the fair price · 4.6× Medicare
Medicare pays $29 Fair price $117 This hospital $132 Cash price $99 Hospital's list price $132

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 $132

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 $117 (about 4.0× the $29 Medicare rate). Jacobson Memorial Hospital Care Center charges insurers about $132, or about $99 in cash — about the fair price. Located in Elgin, ND.

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 $101 - $132 348%
Blue Cross Blue Shieldmajor $132 - $185 454%
Aetnamajor $79 - $132 272%
Cignamajor $119 409%
Humanamajor $132 454%
HealthPartners $119 409%
Medica $106 365%
Sanford Health Plan $132 454%
+ 2 smaller / regional plans $106 - $132
Government programs also on file: Medicare, Medicaid, 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: 601 East St N, Elgin, ND 58533
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals