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Therapy Procedure Using Functional Activities Cost in North Carolina
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 99 North Carolina hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $84.11
📉 Low $27.74
📈 High $336
🏥 99 hospitals
🏛️ 63 with insurance contracts
🇺🇸 Medicare $33.61
Hospital comparison — North Carolina
Sorted by cash price (lowest first). Showing top 60 of 99 hospitals.
Billed more than $84.11 for this? That gap is evidence.
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| Hospital | Cash | Aetna | BCBS | Centene | UHC | Cigna | Humana | MultiPlan | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| WAKEMED CARY HOSPITAL CARY |
$27.74 | $33.02 | $33.02 | $39.62 | — | — | — | — | — |
| WAKEMED NORTH HOSPITAL RALEIGH |
$27.74 | $33.02 | $33.02 | $33.02 | — | — | — | — | — |
| WAKEMED MENTAL HEALTH & WELL-BEING HOSPITAL - WAKEBROOK SUNNYBROOK ROAD RALEIGH |
$27.74 | — | — | — | — | — | — | — | — |
| CALDWELL MEMORIAL HOSPITAL MULBERRY ST SW LENOIR |
$29.40 | — | — | — | — | — | — | — | — |
| HUGH CHATHAM MEMORIAL HOSPITAL ELKIN |
$31.20 | — | — | — | — | — | — | — | — |
| SWAIN COMMUNITY HOSPITAL BRYSON CITY |
$43.00 | $39.00 | $39.00 | $39.00 | $39.00 | $68.20 | — | — | $39.00 |
| NORTH CAROLINA SPECIALTY HOSPITAL DURHAM |
$43.68 | $33.61 | — | $34.62 | $65.00 | $77.60 | — | $80.00 | — |
| DUKE RALEIGH HOSPITAL RALEIGH |
$44.01 | — | — | — | — | — | — | — | — |
| DUKE UNIVERSITY HOSPITAL DURHAM |
$44.01 | — | — | — | — | — | — | — | — |
| DUKE REGIONAL HOSPITAL DURHAM |
$44.01 | — | — | — | — | — | — | — | — |
| WASHINGTON REGIONAL MEDICAL CENTER PLYMOUTH |
$45.00 | — | — | — | — | — | — | — | — |
| CATAWBA VALLEY MEDICAL CENTER HICKORY |
$50.00 | $51.00 | $35.00 | $35.00 | $18.00 | $34.00 | $34.00 | $71.00 | — |
| NOVANT HEALTH PENDER MEDICAL CENTER BURGAW |
$53.55 | $32.93 | $32.13 | $34.09 | $86.87 | $33.09 | $30.52 | — | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER NORTH WILKESBORO |
$54.50 | $41.42 | $31.34 | $20.60 | $20.60 | $57.12 | — | $100 | — |
| CONE HEALTH WESLEY LONG HOSPITAL GREENSBORO |
$55.86 | — | — | — | — | — | — | — | — |
| CONE HEALTH ANNIE PENN HOSPITAL REIDSVILLE |
$55.86 | — | — | — | — | — | — | — | — |
| CONE HEALTH BEHAVIORAL HEALTH HOSPITAL GREENSBORO |
$55.86 | — | — | — | — | — | — | — | — |
| CONE HEALTH MOSES CONE HOSPITAL GREENSBORO |
$55.86 | — | — | — | — | — | — | — | — |
| CONE HEALTH ALAMANCE REGIONAL MEDICAL CENTER BURLINGTON |
$55.86 | — | — | — | — | — | — | — | — |
| UNC ROCKINGHAM HOSPITAL EAST KINGS HWY EDEN |
$57.60 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER BOLIVIA |
$58.00 | $58.00 | $16.65 | $16.65 | $16.65 | $45.47 | $99.76 | $104 | — |
| DUKE HEALTH LAKE NORMAN HOSPITAL MOORESVILLE |
$58.32 | — | — | — | — | — | — | — | — |
| CANNON MEMORIAL HOSPITAL LINVILLE |
$61.80 | — | — | — | — | — | — | — | — |
| WATAUGA MEDICAL CENTER BOONE |
$61.80 | — | — | — | — | — | — | — | — |
| ALLEGHANY MEMORIAL HOSPITAL DOCTORS STREET SPARTA |
$62.50 | $42.50 | $21.01 | $42.50 | $42.50 | $105 | — | — | — |
| UNC HEALTH NASH CURTIS ELLIS DR ROCKY MOUNT |
$63.60 | — | — | — | — | — | — | — | — |
| WAYNE UNC HEALTHCARE WAYNE MEMORIAL DR GOLDSBORO |
$63.60 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER CHARLOTTE |
$66.50 | $66.50 | $23.63 | $23.63 | $23.63 | $68.49 | $95.76 | $99.75 | — |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER HUNTERSVILLE |
$66.50 | $66.50 | $16.75 | $16.75 | $16.75 | $68.49 | $95.76 | $99.75 | — |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER MATTHEWS |
$66.50 | $66.50 | $17.64 | $17.64 | $17.64 | $68.49 | $95.76 | $99.75 | — |
| NOVANT HEALTH MINT HILL MEDICAL CENTER CHARLOTTE |
$66.50 | $66.50 | $43.09 | $52.29 | $52.29 | $68.49 | $95.76 | $99.75 | — |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER CHARLOTTE |
$66.50 | $66.50 | $27.66 | $27.66 | $27.66 | $68.49 | $95.76 | $99.75 | — |
| NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL CHARLOTTE |
$66.50 | $66.50 | $23.63 | $23.63 | $23.63 | $68.49 | $95.76 | $99.75 | — |
| NOVANT HEALTH ROWAN MEDICAL CENTER SALISBURY |
$66.50 | $66.50 | $22.87 | $22.87 | $22.87 | $68.49 | $95.76 | $99.75 | — |
| ONSLOW MEMORIAL HOSPITAL JACKSONVILLE |
$68.00 | $33.68 | $23.85 | $23.85 | $30.96 | $107 | $28.07 | $111 | — |
| HARRIS REGIONAL HOSPITAL HOSPITAL ROAD SYLVA |
$69.64 | $44.60 | $31.79 | $49.49 | $48.70 | $105 | $102 | — | $100 |
| NOVANT HEALTH FORSYTH MEDICAL CENTER WINSTON-SALEM |
$71.40 | $59.50 | $22.53 | $22.53 | $22.53 | $46.05 | $92.70 | $107 | — |
| UNC HEALTH BLUE RIDGE SOUTH STERLING ST MORGANTON |
$72.00 | — | — | — | — | — | — | — | — |
| UNC HEALTH PARDEE NORTH JUSTICE STREET HENDERSONVILLE |
$72.00 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH CLEMMONS MEDICAL CENTER CLEMMONS |
$73.80 | $61.50 | $23.29 | $23.29 | $23.29 | $47.60 | $95.81 | $111 | — |
| NOVANT HEALTH MEDICAL PARK HOSPITAL WINSTON-SALEM |
$73.80 | $61.50 | $29.74 | $29.74 | $29.74 | $47.60 | $95.81 | $111 | — |
| UNC HEALTH SOUTHEASTERN TH ST LUMBERTON |
$74.40 | — | — | — | — | — | — | — | — |
| UNC LENOIR HEALTH CARE AIRPORT RD KINSTON |
$76.80 | — | — | — | — | — | — | — | — |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES HWY NORTH DANBURY |
$76.84 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER THOMASVILLE |
$79.80 | $66.50 | $24.64 | $24.64 | $24.64 | $52.66 | $104 | $120 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER BERMUDA RUN |
$80.00 | $33.02 | $33.02 | $33.02 | $33.02 | $33.02 | $33.35 | $144 | — |
| WILSON MEDICAL CENTER WILSON |
$81.20 | $57.90 | $31.23 | $48.66 | $42.20 | $51.30 | $100 | — | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER HIGH POINT |
$81.50 | $48.57 | $51.46 | $23.88 | $23.88 | $89.49 | $152 | $147 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER LEXINGTON |
$82.50 | $46.86 | $38.94 | $31.40 | $31.40 | $71.78 | $145 | $148 | — |
| HIGHLANDS-CASHIERS HOSPITAL HIGHLANDS |
$84.11 | $40.37 | $28.62 | $29.48 | $29.05 | $27.59 | — | $67.29 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST WINSTON SALEM |
$84.50 | $40.05 | $34.97 | $38.68 | $38.68 | $51.71 | $92.44 | $152 | — |
| CAPE FEAR VALLEY MEDICAL CENTER FAYETTEVILLE |
$88.20 | $34.28 | $63.08 | $33.61 | $35.00 | $60.00 | $36.97 | $82.00 | — |
| CAPE FEAR VALLEY BLADEN COUNTY HOSPITAL ELIZABETHTOWN |
$88.20 | $23.46 | $70.20 | $22.00 | $1.88 | $95.00 | $22.00 | $82.00 | — |
| CAPE FEAR VALLEY HOKE HOSPITAL RAEFORD |
$88.20 | $34.28 | $62.60 | $33.61 | $49.00 | $60.00 | $36.97 | $82.00 | — |
| CAPE FEAR VALLEY BETSY JOHNSON HOSPITAL DUNN |
$88.20 | $34.28 | $56.80 | $33.61 | $49.00 | $54.10 | $33.61 | $72.00 | — |
| CAPE FEAR VALLEY HIGHSMITH-RAINEY SPECIALTY HOSPITAL FAYETTEVILLE |
$88.20 | $34.28 | $64.20 | $33.61 | $35.00 | $60.00 | $36.97 | $82.00 | — |
| MARIA PARHAM MEDICAL CENTER HENDERSON |
$89.48 | $47.10 | $34.39 | $57.05 | $44.90 | $56.70 | $100 | — | $100 |
| RUTHERFORD REGIONAL HEALTH SYSTEM RUTHERFORDTON |
$90.95 | $47.10 | $16.45 | $30.20 | $56.00 | $37.40 | $73.00 | $90.00 | $100 |
| UNC REX HOSPITAL LAKE BOONE TRAIL RALEIGH |
$96.00 | — | — | — | — | — | — | — | — |
| UNC MEDICAL CENTER MANNING DR CHAPEL HILL |
$96.00 | — | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97530, 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: $98.00 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $84.11 for this?
That is the median of what the 99 North Carolina hospitals above publish for Therapy procedure using functional activities — 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 97530 in North Carolina, Medicare reimburses about $33.61 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in North Carolina range from $27.74 to $336 — that means hospital cash prices are typically 2.5x 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 therapy procedure using functional activities cost in North Carolina?
- Cash prices for therapy procedure using functional activities (CPT 97530) in North Carolina range from $27.74 to $336, with a median of $84.11. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in North Carolina?
- The cheapest North Carolina hospital published cash price for this procedure is $27.74. 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.
Therapy procedure using functional activities 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 97530 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.