CMS Price Transparency Data

Physical therapy (gait training)

Facility: Providence Medford Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 1.1× the $29 Medicare rate · typically $32–$35
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
1.1× Medicare
Medicare pays $29 Fair price $33 This hospital $33 Cash price $83 Hospital's list price $111

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 $33 (about 1.1× the $29 Medicare rate). Providence Medford Medical Center charges insurers about $33, or about $83 in cash — about the fair price. Located in Medford, OR.

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

✓ Blue Cross Blue Shield✓ Humana✓ Kaiser Permanente UnitedHealthcareAetnaCigna

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 $33 114%
Humanamajor $31 107%
Kaiser Permanentemajor $25 - $32 86%
Health Net $34 117%
Moda Health $61 - $209 210%
+ 1 smaller / regional plan $34

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1111 Crater Lake Avenue, Medford, OR 97504
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals