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Re-evaluation for Physical Therapy, Typically 20 Minutes Cost in North Carolina
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 97 North Carolina hospitals. CPT 97164. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $124
📉 Low $48.06
📈 High $626
🏥 97 hospitals
🏛️ 61 with insurance contracts
🇺🇸 Medicare $65.00
Hospital comparison — North Carolina
Sorted by cash price (lowest first). Showing top 60 of 97 hospitals.
Billed more than $124 for this? That gap is evidence.
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| Hospital | Cash | Aetna | BCBS | Centene | UHC | Cigna | Humana | MultiPlan | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| DUKE RALEIGH HOSPITAL RALEIGH |
$48.06 | — | — | — | — | — | — | — | — |
| DUKE UNIVERSITY HOSPITAL DURHAM |
$48.06 | — | — | — | — | — | — | — | — |
| DUKE REGIONAL HOSPITAL DURHAM |
$48.06 | — | — | — | — | — | — | — | — |
| HUGH CHATHAM MEMORIAL HOSPITAL ELKIN |
$48.10 | — | — | — | — | — | — | — | — |
| CALDWELL MEMORIAL HOSPITAL MULBERRY ST SW LENOIR |
$60.60 | — | — | — | — | — | — | — | — |
| CONE HEALTH ANNIE PENN HOSPITAL REIDSVILLE |
$64.98 | — | — | — | — | — | — | — | — |
| CONE HEALTH ALAMANCE REGIONAL MEDICAL CENTER BURLINGTON |
$64.98 | — | — | — | — | — | — | — | — |
| CONE HEALTH MOSES CONE HOSPITAL GREENSBORO |
$64.98 | — | — | — | — | — | — | — | — |
| CONE HEALTH BEHAVIORAL HEALTH HOSPITAL GREENSBORO |
$64.98 | — | — | — | — | — | — | — | — |
| CONE HEALTH WESLEY LONG HOSPITAL GREENSBORO |
$64.98 | — | — | — | — | — | — | — | — |
| UNC LENOIR HEALTH CARE AIRPORT RD KINSTON |
$67.80 | — | — | — | — | — | — | — | — |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES HWY NORTH DANBURY |
$68.00 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER BOLIVIA |
$71.00 | $71.00 | $20.39 | $20.39 | $20.39 | $55.66 | $122 | $128 | — |
| ECU HEALTH DUPLIN HOSPITAL KENANSVILLE |
$73.36 | — | — | — | — | — | — | — | — |
| WASHINGTON REGIONAL MEDICAL CENTER PLYMOUTH |
$75.00 | — | — | — | — | — | — | — | — |
| WAYNE UNC HEALTHCARE WAYNE MEMORIAL DR GOLDSBORO |
$77.40 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL CHARLOTTE |
$82.00 | $82.00 | $29.14 | $29.14 | $29.14 | $84.46 | $118 | $123 | — |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER CHARLOTTE |
$82.00 | $82.00 | $34.11 | $34.11 | $34.11 | $84.46 | $118 | $123 | — |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER CHARLOTTE |
$82.00 | $82.00 | $29.14 | $29.14 | $29.14 | $84.46 | $118 | $123 | — |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER HUNTERSVILLE |
$82.00 | $82.00 | $20.66 | $20.66 | $20.66 | $84.46 | $118 | $123 | — |
| NOVANT HEALTH ROWAN MEDICAL CENTER SALISBURY |
$82.00 | $82.00 | $28.20 | $28.20 | $28.20 | $84.46 | $118 | $123 | — |
| NOVANT HEALTH MINT HILL MEDICAL CENTER CHARLOTTE |
$82.00 | $82.00 | $53.13 | $64.48 | $64.48 | $84.46 | $118 | $123 | — |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER MATTHEWS |
$82.00 | $82.00 | $21.76 | $21.76 | $21.76 | $84.46 | $118 | $123 | — |
| CANNON MEMORIAL HOSPITAL LINVILLE |
$88.20 | — | — | — | — | — | — | — | — |
| WATAUGA MEDICAL CENTER BOONE |
$88.20 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER NORTH WILKESBORO |
$88.50 | $67.26 | $50.89 | $33.45 | $33.45 | $92.75 | — | $163 | — |
| ALLEGHANY MEMORIAL HOSPITAL DOCTORS STREET SPARTA |
$89.00 | $60.52 | $39.86 | $60.52 | $60.52 | $150 | — | — | — |
| DUKE HEALTH LAKE NORMAN HOSPITAL MOORESVILLE |
$89.64 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH FORSYTH MEDICAL CENTER WINSTON-SALEM |
$92.40 | $77.00 | $29.16 | $29.16 | $29.16 | $59.59 | $120 | $139 | — |
| SWAIN COMMUNITY HOSPITAL BRYSON CITY |
$94.07 | $39.00 | $39.00 | $39.00 | $39.00 | $68.20 | — | — | $39.00 |
| NOVANT HEALTH CLEMMONS MEDICAL CENTER CLEMMONS |
$96.60 | $80.50 | $30.49 | $30.49 | $30.49 | $62.30 | $125 | $145 | — |
| UNC HEALTH NASH CURTIS ELLIS DR ROCKY MOUNT |
$96.60 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH MEDICAL PARK HOSPITAL WINSTON-SALEM |
$96.60 | $80.50 | $38.92 | $38.92 | $38.92 | $62.30 | $125 | $145 | — |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER THOMASVILLE |
$98.40 | $82.00 | $30.38 | $30.38 | $30.38 | $64.94 | $128 | $148 | — |
| ECU HEALTH BERTIE HOSPITAL WINDSOR |
$99.12 | — | — | — | — | — | — | — | — |
| UNC HEALTH PARDEE NORTH JUSTICE STREET HENDERSONVILLE |
$101 | — | — | — | — | — | — | — | — |
| RUTHERFORD REGIONAL HEALTH SYSTEM RUTHERFORDTON |
$105 | $47.10 | $16.45 | $30.20 | $56.00 | $37.40 | $73.00 | $90.00 | $100 |
| UNC HEALTH SOUTHEASTERN TH ST LUMBERTON |
$110 | — | — | — | — | — | — | — | — |
| HARRIS REGIONAL HOSPITAL HOSPITAL ROAD SYLVA |
$118 | $44.60 | $31.79 | $49.49 | $48.70 | $105 | $102 | — | $100 |
| HAYWOOD REGIONAL MEDICAL CENTER CLYDE |
$118 | $44.60 | $16.03 | $45.31 | $37.10 | $100 | $102 | — | — |
| WAKEMED NORTH HOSPITAL RALEIGH |
$120 | $64.73 | $64.73 | $64.73 | — | — | — | — | — |
| WAKEMED CARY HOSPITAL CARY |
$120 | $64.73 | $64.73 | $77.68 | — | — | — | — | — |
| WAKEMED MENTAL HEALTH & WELL-BEING HOSPITAL - WAKEBROOK SUNNYBROOK ROAD RALEIGH |
$120 | — | — | — | — | — | — | — | — |
| UNC ROCKINGHAM HOSPITAL EAST KINGS HWY EDEN |
$124 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH UNIVERSITY CITY CHARLOTTE |
$124 | $65.84 | $57.12 | $25.94 | $37.54 | $64.73 | $66.02 | $229 | $110 |
| ATRIUM HEALTH BEHAVIORAL HEALTH CHARLOTTE CHARLOTTE |
$124 | $47.21 | $47.21 | $46.17 | $46.17 | $47.21 | $47.21 | — | — |
| ATRIUM HEALTH ANSON WADESBORO |
$124 | $65.84 | $99.55 | $37.86 | $46.17 | $64.73 | $66.02 | $236 | $110 |
| ATRIUM HEALTH KINGS MOUNTAIN SHELBY |
$124 | $65.84 | $77.22 | $35.73 | $46.17 | $64.73 | $66.02 | $236 | $110 |
| ATRIUM HEALTH UNION WEST MONROE |
$124 | $65.84 | $60.32 | $33.17 | $33.29 | $64.73 | $66.02 | $236 | $110 |
| ATRIUM HEALTH CAROLINAS MEDICAL CENTER CHARLOTTE |
$124 | $65.84 | $82.58 | $46.17 | $46.17 | $64.73 | $66.02 | $224 | $110 |
| ATRIUM HEALTH MERCY CHARLOTTE |
$124 | $65.84 | $82.11 | $46.17 | $46.17 | $64.73 | $66.02 | $229 | $110 |
| ATRIUM HEALTH STANLY ALBERMARLE |
$124 | $65.84 | $97.29 | $30.09 | $43.63 | $64.73 | $66.02 | $234 | $110 |
| CAROLINAS REHABILITATION MOUNT HOLLY BELMONT |
$124 | $67.00 | $86.14 | $46.17 | $46.17 | $64.73 | $66.02 | $229 | $110 |
| ATRIUM HEALTH CABARRUS CONCORD |
$124 | $65.84 | $67.53 | $31.06 | $31.63 | $64.73 | $66.02 | $236 | $110 |
| ATRIUM HEALTH LINCOLN LINCOLNTON |
$124 | $65.84 | $71.23 | $28.55 | $41.32 | $64.73 | $66.02 | $236 | $110 |
| ATRIUM HEALTH PINEVILLE CHARLOTTE |
$124 | $65.84 | $72.20 | $25.69 | $37.17 | $64.73 | $66.02 | $229 | $110 |
| ATRIUM HEALTH LEVINE CHILDREN'S HOSPITAL CHARLOTTE |
$124 | $65.84 | $104 | $46.17 | $46.17 | $64.73 | $66.02 | $224 | $110 |
| ADVENTHEALTH HENDERSONVILLE HENDERSONVILLE |
$129 | $65.00 | — | — | — | — | $65.65 | — | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER HIGH POINT |
$130 | $77.18 | $81.77 | $37.94 | $37.94 | $142 | $241 | $233 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER BERMUDA RUN |
$130 | $61.38 | $53.59 | $59.29 | $59.29 | $64.73 | $65.38 | $233 | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97164, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $145 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $124 for this?
That is the median of what the 97 North Carolina hospitals above publish for Re-evaluation for physical therapy, typically 20 minutes — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97164 in North Carolina, Medicare reimburses about $65.00 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in North Carolina range from $48.06 to $626 — that means hospital cash prices are typically 1.9x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does re-evaluation for physical therapy, typically 20 minutes cost in North Carolina?
- Cash prices for re-evaluation for physical therapy, typically 20 minutes (CPT 97164) in North Carolina range from $48.06 to $626, with a median of $124. Prices vary widely by hospital.
- Where can I find the cheapest re-evaluation for physical therapy, typically 20 minutes in North Carolina?
- The cheapest North Carolina hospital published cash price for this procedure is $48.06. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Re-evaluation for physical therapy, typically 20 minutes in nearby states
Other procedures in North Carolina
Methodology. Cash prices and insurance-negotiated rates published by each North Carolina facility under federal price transparency rules (45 CFR § 180). CPT code 97164 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.