CMS Price Transparency Data

Physical therapy (gait training)

Facility: Dr Dan C Trigg Memorial Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.2× the $29 Medicare rate · typically $30–$58
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
Below the fair price — a good deal
about $4 under the fair price · 1.1× Medicare
Medicare pays $29 Fair price $35 This hospital $31 Cash price $52 Hospital's list price $74

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

One of the lower prices — 3 of 8 other NM hospitals charge more for the same procedure.

Cheapest $28 Priciest $39

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

A fair price for a Physical therapy (gait training) is about $35 (about 1.2× the $29 Medicare rate). Dr Dan C Trigg Memorial Hospital charges insurers about $31, or about $52 in cash — below the fair price — a good deal. Located in Tucumcari, NM.

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 $29 100%
Blue Cross Blue Shieldmajor $29 - $49 100%
Aetnamajor $29 100%
Humanamajor $31 107%
Molina $30 103%
Presbyterian $28 - $123 96%
+ 1 smaller / regional plan $31

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 301 East Miel De Luna Avenue, Tucumcari, NM 88401
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals