CMS Price Transparency Data

Physical therapy (gait training)

Facility: Matagorda Regional Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$84
about 2.9× the $29 Medicare rate · typically $36–$102
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
about $10 over the fair price · 3.2× Medicare
Medicare pays $29 Fair price $84 This hospital $94 Cash price $47 Hospital's list price $94

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $94

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $84 (about 2.9× the $29 Medicare rate). Matagorda Regional Medical Center charges insurers about $94, or about $47 in cash — about the fair price. Located in Bay City, TX.

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 $53 - $65 182%
Blue Cross Blue Shieldmajor $53 - $98 182%
Aetnamajor $59 203%
Cignamajor $70 241%
Humanamajor $61 210%
Molina $53 182%
+ 7 smaller / regional plans $53 - $85
Government programs also on file: Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 104 7Th Street, Bay City, TX 77414
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals