CMS Price Transparency Data

Physical therapy (gait training)

Facility: Mc Camey Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$74
about 2.6× the $29 Medicare rate · typically $28–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
About the fair price
about $11 over the fair price · 2.9× Medicare
Medicare pays $29 Fair price $74 This hospital $85 Cash price $88 Hospital's list price $117

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 $85

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 $74 (about 2.6× the $29 Medicare rate). Mc Camey Hospital charges insurers about $85, or about $88 in cash — about the fair price. Located in McCamey, 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 $73 - $115 251%
Blue Cross Blue Shieldmajor $67 - $126 231%
Aetnamajor $73 - $119 251%
Cignamajor $88 - $112 303%
Humanamajor $73 - $94 251%
Baylor Scott & White $117 - $126 403%
+ 5 smaller / regional plans $41 - $139
Government programs also on file: Medicaid.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2500 Hwy 305 South, McCamey, TX 79752
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals