CMS Price Transparency Data
Physical therapy (gait training)
Facility: Fort Loudoun Medical Center
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$38
about 1.3× the $29 Medicare rate · typically $28–$193
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $38 Cash price $16 Hospital's list price $50
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 | $182 - $257 | 626% |
| Blue Cross Blue Shieldmajor | $34 - $76 | 117% |
| Aetnamajor | $150 | 516% |
| Cignamajor | $138 - $183 | 475% |
| Ambetter (Centene) | $156 | 537% |
Self-Pay How to get the cash price
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Other Procedures at Fort Loudoun Medical Center
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.