CMS Price Transparency Data

Physical therapy (gait training)

Facility: Marshall Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.5× the $29 Medicare rate · typically $32–$48
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
About the fair price
about $4 over the fair price · 1.6× Medicare
Medicare pays $29 Fair price $43 This hospital $47 Cash price $53 Hospital's list price $113

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 $47

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 $43 (about 1.5× the $29 Medicare rate). Marshall Medical Center charges insurers about $47, or about $53 in cash — about the fair price. Located in Lewisburg, TN.

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✓ Humana CignaKaiser 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 $28 96%
Blue Cross Blue Shieldmajor $18 - $122 62%
Aetnamajor $102 351%
Humanamajor $30 103%
+ 5 smaller / regional plans $47 - $96
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1080 North Ellington Parkway, Lewisburg, TN 37091
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals