Physical therapy (gait training)
Facility: Baptist Medical Center Attala
Billing Code: 97116 (CPT)
- CPT Billing Code: 97116
- Insurance Median: $81
- Cash Discount Price: $63
- vs. Medicare Baseline: 2.79x 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 279% of the Medicare baseline (a markup of 179%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $30 - $57 | 103% |
| Advanced Health Systems Inc. | $30 | 103% |
| Tricare | $43 - $52 | 148% |
| Ms Breast and Cervical | $45 - $55 | 155% |
| Triwest | $45 - $55 | 155% |
| Molina | $45 - $102 | 155% |
| Vaccn | $45 - $55 | 155% |
| Devoted Health | $46 - $56 | 158% |
| Shared Health | $47 - $58 | 162% |
| Primewell | $47 - $58 | 162% |
| American Health Plan | $47 - $58 | 162% |
| Aetna | $47 - $137 | 162% |
| Humana | $47 - $141 | 162% |
| Cigna | $47 - $58 | 162% |
| Wellcare | $47 - $58 | 162% |
| Magnolia Ms | $47 - $58 | 162% |
| PPO Holdings | $49 - $60 | 169% |
| Magnolia Regional Health Center | $52 - $63 | 179% |
| Littler | $64 - $78 | 220% |
| First State Bank Trust | $77 - $93 | 265% |
| Burch Food Services | $77 - $93 | 265% |
| Carlisle | $81 - $99 | 279% |
| Cannon Motor Company | $81 - $99 | 279% |
| Heavy Machines | $81 - $99 | 279% |
| Crittenden County | $81 - $99 | 279% |
| Gossett Motor Cars | $81 - $99 | 279% |
| Ritchey Automotive | $81 - $99 | 279% |
| United Tn Holdings | $81 - $99 | 279% |
| Heartland Catfish Company | $81 - $99 | 279% |
| W W Wood Products | $81 - $99 | 279% |
| W G Yates | $81 - $99 | 279% |
| Dunn Investment Company | $81 - $99 | 279% |
| Malco Theaters | $81 - $99 | 279% |
| Patterson Warehouses | $81 - $99 | 279% |
| Y K Auto Group | $81 - $99 | 279% |
| Armstrong Relocation | $81 - $99 | 279% |
| Watkins Uiberall | $81 - $99 | 279% |
| Jas D Collier | $81 - $99 | 279% |
| Desoto Co Board of Supervisors | $81 - $99 | 279% |
| Silver Tree | $81 - $99 | 279% |
| Mechanical Systems | $81 - $99 | 279% |
| Security One | $81 - $99 | 279% |
| Building Plastic | $81 - $99 | 279% |
| First Community Bank | $81 - $99 | 279% |
| Delta Industries | $81 - $99 | 279% |
| Retzer Resources | $81 - $99 | 279% |
| First Choice Health Plan of Ms | $81 - $99 | 279% |
| Hattiesburg Clinic | $81 - $99 | 279% |
| French Camp Academy | $81 - $99 | 279% |
| Hospitality Management Advisors | $81 - $99 | 279% |
| Ashley Furniture Stores | $81 - $99 | 279% |
| Davidson Hospitality | $81 - $99 | 279% |
| Mid-South Transport | $81 - $99 | 279% |
| Minact | $81 - $99 | 279% |
| Vaughn Electric | $81 - $99 | 279% |
| Brimhall Foods | $81 - $99 | 279% |
| Radians | $81 - $99 | 279% |
| State Systems | $81 - $99 | 279% |
| Rei Nation | $81 - $99 | 279% |
| Employers Health Network | $90 - $110 | 310% |
| Multiplan | $90 - $110 | 310% |
| Harding Academy | $90 - $110 | 310% |
| PPO Plus | $90 - $110 | 310% |
| UnitedHealthcare | $106 | 365% |
| Ms Dept of Rehab Services | $129 - $157 | 444% |