Physical therapy (gait training)
Facility: Bmh-Calhoun
Billing Code: 97116 (CPT)
- CPT Billing Code: 97116
- Insurance Median: $70
- Cash Discount Price: $72
- vs. Medicare Baseline: 2.41x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $29.06 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 241% of the Medicare baseline (a markup of 141%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| PPO Holdings | $30 - $76 | 103% |
| Blue Cross Blue Shield | $30 - $89 | 103% |
| Magnolia Regional Health Center | $31 - $80 | 107% |
| Tricare | $32 - $82 | 110% |
| Ms Breast and Cervical | $34 - $86 | 117% |
| Triwest | $34 - $86 | 117% |
| Molina | $34 - $159 | 117% |
| Vaccn | $34 - $86 | 117% |
| Devoted Health | $34 - $88 | 117% |
| American Health Plan | $35 - $90 | 120% |
| Aetna | $35 - $130 | 120% |
| Primewell | $35 - $90 | 120% |
| Humana | $35 - $160 | 120% |
| Shared Health | $35 - $90 | 120% |
| Magnolia Ms | $38 - $98 | 131% |
| Littler | $39 - $100 | 134% |
| Cigna | $43 - $110 | 148% |
| First Choice Health Plan of Ms | $50 - $129 | 172% |
| First State Bank Trust | $57 - $146 | 196% |
| Burch Food Services | $57 - $146 | 196% |
| Town of Collierville | $60 - $155 | 206% |
| First Community Bank | $60 - $155 | 206% |
| Heartland Catfish Company | $60 - $155 | 206% |
| Hollowell Industries | $60 - $155 | 206% |
| Gossett Motor Cars | $60 - $155 | 206% |
| Y K Auto Group | $60 - $155 | 206% |
| Delta Industries | $60 - $155 | 206% |
| Desoto Co Board of Supervisors | $60 - $155 | 206% |
| Jas D Collier | $60 - $155 | 206% |
| Hattiesburg Clinic | $60 - $155 | 206% |
| Vaughn Electric | $60 - $155 | 206% |
| Mid-South Transport | $60 - $155 | 206% |
| Brimhall Foods | $60 - $155 | 206% |
| Ritchey Automotive | $60 - $155 | 206% |
| Malco Theaters | $60 - $155 | 206% |
| W W Wood Products | $60 - $155 | 206% |
| Crittenden County | $60 - $155 | 206% |
| Armstrong Relocation | $60 - $155 | 206% |
| Silver Tree | $60 - $155 | 206% |
| Collierville Schools | $60 - $155 | 206% |
| Building Plastic | $60 - $155 | 206% |
| Security One | $60 - $155 | 206% |
| Ashley Furniture Stores | $60 - $155 | 206% |
| Patterson Warehouses | $60 - $155 | 206% |
| Lakeland School System | $60 - $155 | 206% |
| Eas Mssc Schools | $60 - $155 | 206% |
| Carlisle | $60 - $155 | 206% |
| French Camp Academy | $60 - $155 | 206% |
| City of Bartlett | $60 - $155 | 206% |
| W G Yates | $60 - $155 | 206% |
| Rei Nation | $60 - $155 | 206% |
| Cannon Motor Company | $60 - $155 | 206% |
| Mechanical Systems | $60 - $155 | 206% |
| Davidson Hospitality | $60 - $155 | 206% |
| State Systems | $60 - $155 | 206% |
| Radians | $60 - $155 | 206% |
| Arlington Community Schools | $60 - $155 | 206% |
| Watkins Uiberall | $60 - $155 | 206% |
| Hospitality Management Advisors | $60 - $155 | 206% |
| Heavy Machines | $60 - $155 | 206% |
| City of Lakeland | $60 - $155 | 206% |
| Bartlett City Schools | $60 - $155 | 206% |
| United Tn Holdings | $60 - $155 | 206% |
| Retzer Resources | $60 - $155 | 206% |
| Dunn Investment Company | $60 - $155 | 206% |
| Minact | $60 - $155 | 206% |
| Christian Health Aid | $62 - $160 | 213% |
| Advanced Health Systems Inc. | $62 - $160 | 213% |
| PPO Plus | $66 - $170 | 227% |
| Employers Health Network | $67 - $172 | 231% |
| Harding Academy | $67 - $172 | 231% |
| Qca | $70 - $180 | 241% |
| Multiplan | $70 - $180 | 241% |