CMS Price Transparency Data

Physical therapy (gait training)

Facility: Buchanan General Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 1.1× the $29 Medicare rate · typically $28–$67
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
Below the fair price — a good deal
about $6 under the fair price · 0.9× Medicare
Medicare pays $29 Fair price $33 This hospital $27 Cash price $49 Hospital's list price $140

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Lowest price of the 9 VA hospitals we have prices for — a strong deal.

Cheapest $27 Priciest $28

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

A fair price for a Physical therapy (gait training) is about $33 (about 1.1× the $29 Medicare rate). Buchanan General Hospital charges insurers about $27, or about $49 in cash — below the fair price — a good deal. Located in Grundy, VA.

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✓ Aetna✓ Humana CignaKaiser 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 $25 - $28 86%
Blue Cross Blue Shieldmajor $25 - $29 86%
Aetnamajor $25 - $28 86%
Humanamajor $25 - $28 86%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1535 Slate Creek Road, Grundy, VA 24614
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals