CMS Price Transparency Data

Physical therapy (gait training)

Facility: Samaritan Albany General Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.6× the $29 Medicare rate · typically $29–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
About the fair price
about $2 under the fair price · 1.5× Medicare
Medicare pays $29 Fair price $46 This hospital $44 Cash price $74 Hospital's list price $92

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $22 Priciest $44

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

A fair price for a Physical therapy (gait training) is about $46 (about 1.6× the $29 Medicare rate). Samaritan Albany General Hospital charges insurers about $44, or about $74 in cash — about the fair price. Located in Albany, OR.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $32 - $118 110%
Aetnamajor $50 - $89 172%
Cignamajor $29 - $89 100%
Humanamajor $28 - $92 96%
Devoted Health $28 - $43 96%
Health Net $28 - $91 96%
Moda Health $35 - $185 120%
PacificSource $25 - $64 86%
+ 4 smaller / regional plans $28 - $190

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1046 6Th Avenue Sw, Albany, OR 97321
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals