CMS Price Transparency Data

Physical therapy (gait training)

Facility: Central Carolina Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$44
about 1.5× the $29 Medicare rate · typically $19–$114
modeled estimate · not a bill or quote
What this hospital charges insurers
$12
Below the fair price — a good deal
about $32 under the fair price · 0.4× Medicare
Medicare pays $29 Fair price $44 This hospital $12 Cash price $53 Hospital's list price $133

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Lowest price of the 9 NC hospitals we have prices for — a strong deal.

Cheapest $12 Priciest $28

Black dot = this hospital, among the 9 NC 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 $44 (about 1.5× the $29 Medicare rate). Central Carolina Hospital charges insurers about $12, or about $53 in cash — below the fair price — a good deal. Located in Sanford, NC.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
AmeriHealth $12 41%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1135 Carthage St, Sanford, NC 27330
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals