CMS Price Transparency Data

Physical therapy (gait training)

Facility: North Alabama Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$28
about 1.0× the $29 Medicare rate · typically $22–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
Below the fair price — a good deal
about $7 under the fair price · 0.7× Medicare
Medicare pays $29 Fair price $28 This hospital $21 Cash price $67 Hospital's list price $192

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

One of the lower prices — 6 of 8 other AL hospitals charge more for the same procedure.

Cheapest $11 Priciest $27

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (gait training) is about $28 (about 1.0× the $29 Medicare rate). North Alabama Medical Center charges insurers about $21, or about $67 in cash — below the fair price — a good deal. Located in Florence, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $19 - $23 65%
Blue Cross Blue Shieldmajor $19 - $47 65%
Aetnamajor $21 - $22 72%
Cignamajor $123 423%
Humanamajor $20 69%
Ambetter (Centene) $22 76%
Cigna HealthSpring $18 62%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1701 Veterans Drive, Florence, AL 35630
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals