CMS Price Transparency Data

Physical therapy (gait training)

Facility: Metro Nashville General Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$41
about 1.4× the $29 Medicare rate · typically $26–$76
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $11 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $41 This hospital $30 Cash price $79 Hospital's list price $131

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 $30

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 $41 (about 1.4× the $29 Medicare rate). Metro Nashville General Hospital charges insurers about $30, or about $79 in cash — below the fair price — a good deal. Located in Nashville, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $28 - $38 96%
Aetnamajor $72 248%
Cignamajor $15 52%
+ 1 smaller / regional plan $11
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 1818 Albion Street, Nashville, TN 37208
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals