CMS Price Transparency Data

Physical therapy (gait training)

Facility: Golden Plains Community Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 2.2× the $29 Medicare rate · typically $49–$66
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
About the fair price
2.2× Medicare
Medicare pays $29 Fair price $65 This hospital $65 Cash price $184 Hospital's list price $263

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 $65

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 $65 (about 2.2× the $29 Medicare rate). Golden Plains Community Hospital charges insurers about $65, or about $184 in cash — about the fair price. Located in Borger, 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 $60 - $200 206%
Blue Cross Blue Shieldmajor $60 - $179 206%
Aetnamajor $60 - $171 206%
Cignamajor $48 165%
Humanamajor $60 206%
WellMed $60 206%

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Facility Profile & Credentials

  • Address: 100 Medical Drive, Borger, TX 79007
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals