CMS Price Transparency Data

Physical therapy (gait training)

Facility: White Rock Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$42
about 1.4× the $29 Medicare rate · typically $20–$125
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $6 under the fair price · 1.2× Medicare
Medicare pays $29 Fair price $42 This hospital $36 Cash price $104 Hospital's list price $153

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 $36

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 $42 (about 1.4× the $29 Medicare rate). White Rock Medical Center charges insurers about $36, or about $104 in cash — below the fair price — a good deal. Located in Dallas, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Cigna UnitedHealthcareAetnaHumanaKaiser 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
Blue Cross Blue Shieldmajor $46 - $61 158%
Cignamajor $110 - $200 379%
Amerigroup $14 48%
Baylor Scott & White $36 124%
Molina $110 379%
+ 1 smaller / regional plan $110
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9440 Poppy Drive, Dallas, TX 75218
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals