Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Generation details were not recorded for this description.
Original text from hospital filings
HC GAIT TRAINING THERAPY EACH 15 MIN
West Bend, WI
See all hospitals reporting CPT 97116 →Price type
St Josephs Community Hospital of West Bend Inc’s median price of $103 is 65% above the median hospital's median price ($62), higher than 75% of the 2,560 hospitals reporting CPT 97116. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Anthem medicare advantage case rate · outpatient | $27.97 | $27.97 | $27.97 – $27.97 |
| 2 | Humana medicare advantage case rate · outpatient | $27.97 | $27.97 | $27.97 – $27.97 |
| 3 | Molina medicare advantage case rate · outpatient | $27.97 | $27.97 | $27.97 – $27.97 |
| 4 | UnitedHealthcare medicare advantage case rate · outpatient | $27.97 | $27.97 | $27.97 – $27.97 |
| 5 | Aetna medicare advantage other · inpatient | $28.32 | $28.32 | $28.32 – $28.32 |
| 6 | Aetna medicare advantage case rate · outpatient | $28.53 | $28.53 | $28.53 – $28.53 |
| 7 | UnitedHealthcare options ppo other · inpatient | $39.07 | $39.07 | $39.07 – $39.07 |
| 8 | Aetna all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $89.60 | $89.60 | $89.60 – $89.60 |
| 9 | Aetna all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $89.60 | $89.60 | $89.60 – $89.60 |
| 10 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $108.80 | $108.80 | $108.80 – $108.80 |
| 11 | MultiPlan all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $111.36 | $111.36 | $111.36 – $111.36 |
| 12 | MultiPlan all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $111.36 | $111.36 | $111.36 – $111.36 |
| 13 | First Health all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $112.64 | $112.64 | $112.64 – $112.64 |
| 14 | First Health all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $112.64 | $112.64 | $112.64 – $112.64 |
| 15 | Cigna all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $121.60 | $121.60 | $121.60 – $121.60 |
| 16 | Cigna all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $121.60 | $121.60 | $121.60 – $121.60 |
| 17 | UnitedHealthcare nexus case rate · outpatient | $263.00 | $263.00 | $263.00 – $263.00 |
| 18 | UnitedHealthcare choice plus/navigate case rate · outpatient | $309.00 | $309.00 | $309.00 – $309.00 |
| 19 | Anthem hmo case rate · outpatient | $327.00 | $327.00 | $327.00 – $327.00 |
| 20 | UnitedHealthcare options ppo case rate · outpatient | $370.00 | $370.00 | $370.00 – $370.00 |
Last updated: Dec 31, 2025
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