CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Duke University Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$104
about 3.2× the $33 Medicare rate · typically $36–$135
modeled estimate · not a bill or quote
What this hospital charges insurers
$72
Below the fair price — a good deal
about $32 under the fair price · 2.2× Medicare
Medicare pays $33 Fair price $104 This hospital $72 Cash price $54 Hospital's list price $200

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $27 Priciest $72

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

A fair price for a Physical therapy (neuromuscular re-education) is about $104 (about 3.2× the $33 Medicare rate). Duke University Hospital charges insurers about $72, or about $54 in cash — below the fair price — a good deal. Located in Durham, NC.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $58 - $72 177%
Aetnamajor $69 211%

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Facility Profile & Credentials

  • Address: 2301 Erwin Rd, Durham, NC 27705
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals