CMS Price Transparency Data

Physical therapy (gait training)

Facility: Alta Vista Regional Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 1.0× the $29 Medicare rate · typically $29–$34
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $2 over the fair price · 1.1× Medicare
Medicare pays $29 Fair price $29 This hospital $31 Cash price $155 Hospital's list price $310

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.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (gait training) is about $29 (about 1.0× the $29 Medicare rate). Alta Vista Regional Hospital charges insurers about $31, or about $155 in cash — about the fair price. Located in Las Vegas, NM.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $43 - $50 148%
Blue Cross Blue Shieldmajor $232 - $310 798%
+ 6 smaller / regional plans $25 - $310
Government programs also on file: Medicare, Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 104 Legion Drive, Las Vegas, NM 87701
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals