CMS Price Transparency Data

Physical therapy (gait training)

Facility: Haywood County Community Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$35
about 1.2× the $29 Medicare rate · typically $26–$79
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
Below the fair price — a good deal
about $14 under the fair price · 0.7× Medicare
Medicare pays $29 Fair price $35 This hospital $21 Cash price $34 Hospital's list price $84

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

One of the lower prices — 6 of 8 other TN hospitals charge more for the same procedure.

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 $35 (about 1.2× the $29 Medicare rate). Haywood County Community Hospital charges insurers about $21, or about $34 in cash — below the fair price — a good deal. Located in Brownsville, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $84 289%
Blue Cross Blue Shieldmajor $18 - $27 62%
Cignamajor $17 58%
Cigna HealthSpring $21 72%
+ 1 smaller / regional plan $21

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2545 North Washington Avenue, Brownsville, TN 38012
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals