CMS Price Transparency Data
Physical therapy (gait training)
Facility: High Point Regional Health System
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$165
about 5.7× the $29 Medicare rate · typically $39–$293
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $165 Cash price $65 Hospital's list price $129
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 - $234 | 65% |
| Blue Cross Blue Shieldmajor | $41 - $65 | 141% |
| Aetnamajor | $38 - $84 | 131% |
| Cignamajor | $71 | 244% |
| Humanamajor | $120 - $123 | 413% |
| Ambetter (Centene) | $41 | 141% |
| AmeriHealth | $19 - $42 | 65% |
| Oscar Health | $39 - $52 | 134% |
| WellCare | $19 | 65% |
| + 7 smaller / regional plans | $19 - $76 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at High Point Regional Health System
Compare: Physical therapy (gait training) at other NC hospitals
- Central Carolina Hospital · Sanford $12
- Atrium Health Cleveland · Shelby $20
- Atrium Health Anson · Wadesboro $20
- Stanly Regional Medical Center · Albemarle $20
- Carteret General Hospital · Morehead City $21
- Frye Regional Medical Center · Hickory $22
- Carolinas Medical Center-Northeast · Concord $28
- Memorial Mission Hospital and Asheville Surgery Ce · Asheville $28
Insurance negotiated median for the same procedure, sorted lowest first.