CMS Price Transparency Data

Physical therapy (gait training)

Facility: Thedacare Medical Center - Shawano

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$52
about 1.8× the $29 Medicare rate · typically $42–$93
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
Below the fair price — a good deal
about $11 under the fair price · 1.4× Medicare
Medicare pays $29 Fair price $52 This hospital $41 Cash price $58 Hospital's list price $104

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $25 Priciest $41

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 $52 (about 1.8× the $29 Medicare rate). Thedacare Medical Center - Shawano charges insurers about $41, or about $58 in cash — below the fair price — a good deal. Located in Shawano, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $26 - $90 89%
Blue Cross Blue Shieldmajor $26 - $99 89%
Humanamajor $26 89%
HealthPartners $66 227%
+ 1 smaller / regional plan $53
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 100 County Rd B, Shawano, WI 54166
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals