CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Alaska Regional Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $277
Cash Discount Price: $453
vs. Medicare Baseline: 8.46x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Alaska Regional Hospital is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $453. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 8.46x the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$453

Average discount available for prompt cash payment at this facility.

Insurance Median

$277

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)

Cash / Self-Pay: $453 (1384%)

Insurance Median: $277 (846%)

Cash: $453 (1384% of Medicare)

Ins. Median: $277 (846% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 846% of the Medicare baseline (a markup of 746%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Triwest Healthcare Alliance	$37 - $42	113%
Veteran'S Administration	$37 - $42	113%
United	$38 - $352	116%
Veterans Evaluation Services	$46 - $52	141%
Union Coalition	$130 - $138	397%
Union Coalition Cement Masons	$134 - $143	409%
Moda Health	$140 - $219	428%
Premerafirst	$217 - $231	663%
Geha Ppo Usa	$227 - $409	694%
Cigna	$238 - $253	727%
Multiplan	$263 - $434	804%
Coventry Healthcare	$277 - $294	846%
First Health	$307 - $326	938%
Bering Strait School District	$329 - $350	1005%
Nreca Group Benefit Trust	$329 - $350	1005%
Risk & Benefit Management	$329 - $350	1005%
Banner Health	$351 - $373	1072%
Matanuska Telephone	$351 - $373	1072%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $453.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alaska Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.