CMS Price Transparency Data

Physical therapy (gait training)

Facility: Lubbock Heart Hospital LP

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$55
about 1.9× the $29 Medicare rate · typically $28–$82
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $27 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $55 This hospital $28 Cash price $62 Hospital's list price $62

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 $28

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 $55 (about 1.9× the $29 Medicare rate). Lubbock Heart Hospital LP charges insurers about $28, or about $62 in cash — below the fair price — a good deal. Located in Lubbock, TX.

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✓ Cigna✓ Humana AetnaKaiser 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 - $110 96%
Blue Cross Blue Shieldmajor $28 96%
Cignamajor $85 292%
Humanamajor $28 96%
Amerigroup $28 96%
Baylor Scott & White $28 96%
+ 2 smaller / regional plans $28 - $48
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4810 North Loop 289, Lubbock, TX 79416
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals