CMS Price Transparency Data

Physical therapy (gait training)

Facility: Dekalb Community 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 $27–$44
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
About the fair price
about $2 under the fair price · 0.9× Medicare
Medicare pays $29 Fair price $29 This hospital $27 Cash price $42 Hospital's list price $141

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 $29 (about 1.0× the $29 Medicare rate). Dekalb Community Hospital charges insurers about $27, or about $42 in cash — about the fair price. Located in Smithville, 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 $27 93%
Blue Cross Blue Shieldmajor $13 - $62 45%
Aetnamajor $28 96%
Cignamajor $38 - $42 131%
Humanamajor $27 93%
Ambetter (Centene) $35 120%
Amerigroup $27 93%
Cigna HealthSpring $27 93%
Oscar Health $38 131%
+ 6 smaller / regional plans $24 - $38
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 520 W Main St, Smithville, TN 37166
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals