CMS Price Transparency Data

Physical therapy (gait training)

Facility: University Health System, Inc

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $27–$52
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $29 Fair price $30 This hospital $27 Cash price $20 Hospital's list price $79

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 0 charge more and 5 charge less, among the 9 TN hospitals compared.

Cheapest $17 Priciest $27

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 $30 (about 1.0× the $29 Medicare rate). University Health System, Inc charges insurers about $27, or about $20 in cash — about the fair price. Located in Knoxville, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $22 - $55 76%
Blue Cross Blue Shieldmajor $17 - $108 58%
Aetnamajor $28 - $55 96%
Cignamajor $27 - $60 93%
Humanamajor $27 93%
Devoted Health $28 96%
WellCare $29 100%
+ 6 smaller / regional plans $29 - $63
Government programs also on file: Medicare.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals