Physical therapy (gait training)
Facility: Bertrand Chaffee Hospital
Billing Code: 97116 (CPT)
- CPT Billing Code: 97116
- Insurance Median: $28
- Cash Discount Price: $58
- vs. Medicare Baseline: 0.96x 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.
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 |
|---|---|---|
| Univera Plus Med | $25 | 86% |
| Univera Hc Myhealth+ | $25 | 86% |
| Univera Hc Child Health+ | $25 | 86% |
| Univera Essential Plans | $25 | 86% |
| Blue Cross Blue Shield | $28 - $49 | 96% |
| Optimum Healthcare - McR | $28 | 96% |
| Centers Plan Hlty Living | $28 | 96% |
| Advantra-McR Advantage | $28 | 96% |
| Tricare | $28 | 96% |
| Aetna | $28 - $68 | 96% |
| Medicare (plans) | $28 | 96% |
| Lifetime Benefits | $28 | 96% |
| Mutual of Omaha | $28 | 96% |
| UnitedHealthcare | $28 | 96% |
| Humana | $28 | 96% |
| Ctrs Plan for Hlthy Livng | $28 | 96% |
| Wellcare | $28 | 96% |
| Todays Option - Amer Prog | $28 | 96% |
| Geisinger Health Plan | $28 | 96% |
| Cigna | $28 - $68 | 96% |
| United Hc McR Solutions | $28 | 96% |
| Champva | $28 | 96% |
| Senior Blue - Bc | $28 | 96% |
| Univera Senior Choice | $29 | 100% |
| Univera Healthcare | $32 | 110% |
| Private Pay | $58 | 200% |
| No-Fault | $68 | 234% |
| Global Excel Mgt | $68 | 234% |
| Guardian Life Ins. Co. | $68 | 234% |
| No Amer Meritian Health | $68 | 234% |
| Mvp Commercial | $68 | 234% |
| Commercial / Misc | $68 | 234% |
| American Progressive Ins. | $68 | 234% |