CMS Price Transparency Data
Physical therapy (gait training)
Facility: Hudson Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$79
about 2.7× the $29 Medicare rate · typically $41–$173
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $79 Cash price $54 Hospital's list price $119
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $40 - $242 | 138% |
| Blue Cross Blue Shieldmajor | $25 - $91 | 86% |
| HealthPartners | $130 | 447% |
| Medica | $192 | 661% |
| + 1 smaller / regional plan | $119 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Hudson Hospital
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.