CMS Price Transparency Data

Physical therapy (gait training)

Facility: Baptist Memorial Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 1.0× the $29 Medicare rate · typically $24–$59
modeled estimate · not a bill or quote
What this hospital charges insurers
$22
Below the fair price — a good deal
about $7 under the fair price · 0.8× Medicare
Medicare pays $29 Fair price $29 This hospital $22 Cash price $47 Hospital's list price $225

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 5 charge more and 3 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 $29 (about 1.0× the $29 Medicare rate). Baptist Memorial Hospital charges insurers about $22, or about $47 in cash — below the fair price — a good deal. Located in Memphis, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $119 - $150 409%
Blue Cross Blue Shieldmajor $13 - $150 45%
Aetnamajor $19 - $65 65%
Humanamajor $58 200%
Molina $100 - $125 344%
Oscar Health $130 447%
+ 11 smaller / regional plans $40 - $225
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6019 Walnut Grove Road, Memphis, TN 38120
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals