CMS Price Transparency Data

Physical therapy (gait training)

Facility: Angel Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$40
about 1.4× the $29 Medicare rate · typically $29–$59
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $10 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $40 This hospital $30 Cash price $84 Hospital's list price $84

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 $30

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 $40 (about 1.4× the $29 Medicare rate). Angel Medical Center charges insurers about $30, or about $84 in cash — below the fair price — a good deal. Located in Franklin, NC.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $15 - $38 52%
Blue Cross Blue Shieldmajor $14 - $15 48%
Aetnamajor $18 - $54 62%
Cignamajor $29 - $48 100%
Amerigroup $19 65%
AmeriHealth $16 - $33 55%
CareSource $37 127%
WellCare $16 55%
+ 6 smaller / regional plans $16 - $71
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 124 Center Court Po Box 1209, Franklin, NC 28734
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals