CMS Price Transparency Data
Physical therapy (gait training)
Facility: Memorial Healthcare System, Inc
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$54
about 1.9× the $29 Medicare rate · typically $33–$132
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $54 Cash price $44 Hospital's list price $105
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✓ Cigna HumanaKaiser 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 | $70 - $338 | 241% |
| Blue Cross Blue Shieldmajor | $20 - $125 | 69% |
| Aetnamajor | $74 | 255% |
| Cignamajor | $121 - $141 | 416% |
| Health Net | $190 | 654% |
Government programs also on file: Medicaid.
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Other Procedures at Memorial Healthcare System, Inc
Compare: Physical therapy (gait training) at other TN hospitals
- Baptist Memorial Hospital - Carroll County · Huntingdon $17
- Baptist Memorial Hospital Union City · Union City $19
- Haywood County Community Hospital · Brownsville $21
- Baptist Memorial Hospital · Memphis $22
- Baptist Memorial Hospital Tipton · Covington $26
- University Health System, Inc · Knoxville $27
- Methodist Hospitals of Memphis · Memphis $27
- Lincoln Medical Center · Fayetteville $27
Insurance negotiated median for the same procedure, sorted lowest first.