CMS Price Transparency Data

Physical therapy (gait training)

Facility: Coastal Carolina Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 1.3× the $29 Medicare rate · typically $28–$71
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
About the fair price
about $3 over the fair price · 1.4× Medicare
Medicare pays $29 Fair price $37 This hospital $40 Cash price $34

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

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

Cheapest $12 Priciest $40

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

A fair price for a Physical therapy (gait training) is about $37 (about 1.3× the $29 Medicare rate). Coastal Carolina Hospital charges insurers about $40, or about $34 in cash — about the fair price. Located in Hardeeville, SC.

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✓ Humana CignaKaiser 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 $218 - $555 750%
Blue Cross Blue Shieldmajor $34 - $78 117%
Aetnamajor $21 72%
Humanamajor $12 41%
Molina $12 41%
SelectHealth $12 41%
+ 1 smaller / regional plan $13

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Facility Profile & Credentials

  • Address: 1000 Medical Center Drive, Hardeeville, SC 29927
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals