CMS Price Transparency Data

Physical therapy (gait training)

Facility: Carolina East 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 $28–$39
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
1.0× Medicare
Medicare pays $29 Fair price $28 This hospital $28 Cash price $57 Hospital's list price $96

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 $28

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 $28 (about 1.0× the $29 Medicare rate). Carolina East Medical Center charges insurers about $28, or about $57 in cash — about the fair price. Located in New Bern, 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 $27 - $80 93%
Blue Cross Blue Shieldmajor $54 - $78 186%
Aetnamajor $69 - $100 237%
Cignamajor $71 - $103 244%
Humanamajor $28 96%
+ 5 smaller / regional plans $21 - $102
Government programs also on file: Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2000 Neuse Blvd, New Bern, NC 28560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals