CMS Price Transparency Data

Physical therapy (gait training)

Facility: The Nebraska Methodist Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$55
about 1.9× the $29 Medicare rate · typically $38–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$56
About the fair price
about $1 over the fair price · 1.9× Medicare
Medicare pays $29 Fair price $55 This hospital $56 Cash price $52 Hospital's list price $145

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $27 Priciest $56

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

A fair price for a Physical therapy (gait training) is about $55 (about 1.9× the $29 Medicare rate). The Nebraska Methodist Hospital charges insurers about $56, or about $52 in cash — about the fair price. Located in Omaha, NE.

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✓ Humana CignaKaiser 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 $27 - $268 93%
Blue Cross Blue Shieldmajor $27 - $166 93%
Aetnamajor $27 - $85 93%
Humanamajor $27 93%
Ambetter (Centene) $57 196%
Medica $27 - $208 93%
+ 2 smaller / regional plans $56 - $67
Government programs also on file: Medicare.
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: 8303 Dodge St, Omaha, NE 68114
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals