CMS Price Transparency Data
Physical therapy (gait training)
Facility: Christus Southeast Texas- St Elizabeth
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$80
about 2.8× the $29 Medicare rate · typically $32–$151
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $80 Cash price $101 Hospital's list price $306
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 | $74 - $185 | 255% |
| Blue Cross Blue Shieldmajor | $112 - $148 | 385% |
| Aetnamajor | $339 - $396 | 1167% |
| Cignamajor | $245 - $313 | 843% |
| Humanamajor | $184 | 633% |
| + 3 smaller / regional plans | $225 - $327 |
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Other Procedures at Christus Southeast Texas- St Elizabeth
Compare: Physical therapy (gait training) at other TX hospitals
- PAM Specialty Hospital of Texarkana North · Texarkana $18
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $19
- Parkland Health & Hospital System · Dallas $20
- Winkler County Memorial Hospital · Kermit $22
- Ad Hospital East, LLC · Houston $22
- Childrens Medical Ctr of Dallas · Dallas $25
- Childrens Medical Center Plano · Plano $25
- PAM Health Rehabilitation Hospital of El Paso · El Paso $27
Insurance negotiated median for the same procedure, sorted lowest first.