CMS Price Transparency Data

Physical therapy (gait training)

Facility: Providence Holy Family Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$45
about 1.6× the $29 Medicare rate · typically $36–$66
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
About the fair price
about $2 over the fair price · 1.6× Medicare
Medicare pays $29 Fair price $45 This hospital $47 Cash price $48 Hospital's list price $68

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Highest price of the 9 WA hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $47

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

A fair price for a Physical therapy (gait training) is about $45 (about 1.6× the $29 Medicare rate). Providence Holy Family Hospital charges insurers about $47, or about $48 in cash — about the fair price. Located in Spokane, WA.

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✓ Kaiser Permanente CignaHumana

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 $32 - $36 110%
Blue Cross Blue Shieldmajor $31 - $59 107%
Aetnamajor $139 478%
Kaiser Permanentemajor $30 - $92 103%
Providence Health Plan $78 268%
+ 2 smaller / regional plans $48 - $55

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: 5633 North Lidgerwood, Spokane, WA 99208
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals