CMS Price Transparency Data

Physical therapy (gait training)

Facility: Brookings Health System

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$78
about 2.7× the $29 Medicare rate · typically $66–$140
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $5 under the fair price · 2.5× Medicare
Medicare pays $29 Fair price $78 This hospital $73 Cash price $57 Hospital's list price $113

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

Highest price of the 8 SD hospitals we have prices for — worth calling around.

Cheapest $26 Priciest $73

Black dot = this hospital, among the 8 SD hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $78 (about 2.7× the $29 Medicare rate). Brookings Health System charges insurers about $73, or about $57 in cash — about the fair price. Located in Brookings, SD.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $94 323%
Blue Cross Blue Shieldmajor $73 251%
Humanamajor $102 351%
Medica $44 - $83 151%
Sanford Health Plan $107 368%
+ 1 smaller / regional plan $102
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 22Nd Ave, Brookings, SD 57006
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals