CMS Price Transparency Data

Physical therapy (gait training)

Facility: Legacy Mount Hood Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.2× the $29 Medicare rate · typically $32–$56
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $1 under the fair price · 1.1× Medicare
Medicare pays $29 Fair price $34 This hospital $33 Cash price $81 Hospital's list price $125

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

A typical price — 0 charge more and 4 charge less, among the 9 OR hospitals compared.

Cheapest $22 Priciest $33

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 $34 (about 1.2× the $29 Medicare rate). Legacy Mount Hood Medical Center charges insurers about $33, or about $81 in cash — about the fair price. Located in Gresham, OR.

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

✓ Aetna✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldCignaHumana

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
Aetnamajor $32 - $40 110%
Kaiser Permanentemajor $31 - $61 107%
Health Net $33 114%
Moda Health $34 - $119 117%
+ 3 smaller / regional plans $32 - $34

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 24800 Se Stark Street, Gresham, OR 97030
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals