CMS Price Transparency Data

Physical therapy (gait training)

Facility: Upland Hills Health

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$44
about 1.5× the $29 Medicare rate · typically $31–$114
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
About the fair price
about $4 under the fair price · 1.4× Medicare
Medicare pays $29 Fair price $44 This hospital $40 Cash price $103 Hospital's list price $190

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 $40

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 $44 (about 1.5× the $29 Medicare rate). Upland Hills Health charges insurers about $40, or about $103 in cash — about the fair price. Located in Dodgeville, 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 - $148 96%
Blue Cross Blue Shieldmajor $53 - $156 182%
Cignamajor $142 - $159 489%
Humanamajor $53 - $171 182%
Dean Health Plan $85 - $132 292%
Quartz $33 - $131 114%
Security Health Plan $53 182%
+ 5 smaller / regional plans $40 - $129
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 800 Compassion Way, Dodgeville, WI 53533
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals