CMS Price Transparency Data

Physical therapy (gait training)

Facility: UNC Hospitals

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$73
about 2.5× the $29 Medicare rate · typically $29–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
Below the fair price — a good deal
about $44 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $73 This hospital $29 Cash price $66 Hospital's list price $110

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 $12 Priciest $29

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 (gait training) is about $73 (about 2.5× the $29 Medicare rate). UNC Hospitals charges insurers about $29, or about $66 in cash — below the fair price — a good deal. Located in Chapel Hill, NC.

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 $29 - $110 100%
Blue Cross Blue Shieldmajor $27 - $110 93%
Aetnamajor $29 - $77 100%
Cignamajor $29 - $182 100%
Humanamajor $29 100%
AmeriHealth $34 117%
WellCare $28 - $34 96%
+ 10 smaller / regional plans $28 - $182
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 101 Manning Drive, Chapel Hill, NC 27514
  • CMS Rating: ★★★★★
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals