CMS Price Transparency Data

Physical therapy (gait training)

Facility: Holy Family Memorial

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$50
about 1.7× the $29 Medicare rate · typically $28–$103
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $22 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $50 This hospital $28 Cash price $74 Hospital's list price $134

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 0 of 8 other WI hospitals charge more for the same procedure.

Cheapest $25 Priciest $28

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

A fair price for a Physical therapy (gait training) is about $50 (about 1.7× the $29 Medicare rate). Holy Family Memorial charges insurers about $28, or about $74 in cash — below the fair price — a good deal. Located in Manitowoc, WI.

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 - $370 96%
Blue Cross Blue Shieldmajor $28 - $248 96%
Cignamajor $96 330%
Humanamajor $28 96%
Dean Health Plan $67 231%
Health Net $80 275%
HealthPartners $28 - $87 96%
Molina $28 - $30 96%
Security Health Plan $28 - $107 96%
+ 13 smaller / regional plans $28 - $263
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2300 Western Ave, Manitowoc, WI 54221
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals