CMS Price Transparency Data

Physical therapy (gait training)

Facility: Boys Town National Research Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 2.2× the $29 Medicare rate · typically $49–$80
modeled estimate · not a bill or quote
What this hospital charges insurers
$74
About the fair price
about $9 over the fair price · 2.6× Medicare
Medicare pays $29 Fair price $65 This hospital $74 Cash price $116 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 $74

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 $65 (about 2.2× the $29 Medicare rate). Boys Town National Research Hospital charges insurers about $74, or about $116 in cash — about the fair price. Located in Boys Town, NE.

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✓ Aetna CignaHumanaKaiser 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 $74 - $102 255%
Blue Cross Blue Shieldmajor $115 - $141 396%
Aetnamajor $107 368%
HealthPartners $115 - $116 396%
Medica $115 - $138 396%
Molina $74 255%
Paramount $108 - $116 372%
+ 3 smaller / regional plans $74 - $109
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 14000 Boys Town Hospital Road, Boys Town, NE 68010
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens