CMS Price Transparency Data

Physical therapy (gait training)

Facility: Ecu Health North Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $28–$40
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $30 This hospital $28 Cash price $57 Hospital's list price $101

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 $30 (about 1.0× the $29 Medicare rate). Ecu Health North Hospital charges insurers about $28, or about $57 in cash — about the fair price. Located in Roanoke Rapids, 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 $28 - $58 96%
Blue Cross Blue Shieldmajor $24 - $47 83%
Aetnamajor $29 - $75 100%
Cignamajor $56 193%
Humanamajor $28 96%
AmeriHealth $25 86%
WellCare $25 86%
+ 3 smaller / regional plans $25 - $36
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: 250 Smith Church Road, Roanoke Rapids, NC 27870
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals