CMS Price Transparency Data

Physical therapy (gait training)

Facility: Dunes Surgical Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$71
about 2.4× the $29 Medicare rate · typically $32–$103
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
Below the fair price — a good deal
about $26 under the fair price · 1.6× Medicare
Medicare pays $29 Fair price $71 This hospital $45 Hospital's list price $97

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

On the higher side — 5 of 7 other SD hospitals charge less.

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 $71 (about 2.4× the $29 Medicare rate). Dunes Surgical Hospital charges insurers about $45 — below the fair price — a good deal. Located in Dakota Dunes, SD.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $45 155%

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Facility Profile & Credentials

  • Address: 600 N Sioux Point Road, Dakota Dunes, SD 57049
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals