CMS Price Transparency Data

Physical therapy (gait training)

Facility: Jackson-Madison County General Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$67
about 2.3× the $29 Medicare rate · typically $36–$67
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
About the fair price
about $2 under the fair price · 2.2× Medicare
Medicare pays $29 Fair price $67 This hospital $65 Cash price $31 Hospital's list price $103

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $17 Priciest $65

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

A fair price for a Physical therapy (gait training) is about $67 (about 2.3× the $29 Medicare rate). Jackson-Madison County General Hospital charges insurers about $65, or about $31 in cash — about the fair price. Located in Jackson, TN.

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✓ Aetna CignaHumanaKaiser 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 $303 1043%
Blue Cross Blue Shieldmajor $63 - $68 217%
Aetnamajor $50 - $66 172%
Oscar Health $177 609%
+ 2 smaller / regional plans $77 - $106

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 620 Skyline Drive, Jackson, TN 38301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals