CMS Price Transparency Data
Physical therapy (gait training)
Facility: Aurora Medical Center
Billing Code: 97116 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$118
about 4.1× the $29 Medicare rate · typically $33–$283
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $118 Cash price $88 Hospital's list price $175
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✓ Cigna HumanaKaiser 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 | $147 - $302 | 506% |
| Blue Cross Blue Shieldmajor | $149 - $357 | 513% |
| Aetnamajor | $145 - $222 | 499% |
| Cignamajor | $148 - $320 | 509% |
| HealthPartners | $131 - $350 | 451% |
| Molina | $266 | 915% |
| Quartz | $270 - $320 | 929% |
| + 10 smaller / regional plans | $105 - $378 |
Self-Pay How to get the cash price
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Other Procedures at Aurora Medical Center
Compare: Physical therapy (gait training) at other WI hospitals
- SSM Health St Clare Hospital - Baraboo · Baraboo $25
- SSM Health St Mary's Hospital - Madison · Madison $25
- The Monroe Clinic · Monroe $28
- St Josephs Community Hospital West Bend · West Bend $28
- Sauk Prairie Hospital · Prairie Du Sac $28
- Community Memorial Hospital · Menomonee Falls $28
- Holy Family Memorial · Manitowoc $28
- Froedtert Memorial Lutheran Hospital · Milwaukee $28
Insurance negotiated median for the same procedure, sorted lowest first.