CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: St Vincent's Birmingham

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.1× the $33 Medicare rate · typically $24–$68
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
Below the fair price — a good deal
about $5 under the fair price · 0.9× Medicare
Medicare pays $33 Fair price $36 This hospital $31 Hospital's list price $144

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

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

Cheapest $11 Priciest $31

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

A fair price for a Physical therapy (neuromuscular re-education) is about $36 (about 1.1× the $33 Medicare rate). St Vincent's Birmingham charges insurers about $31 — below the fair price — a good deal. Located in Birmingham, AL.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $250 764%
Aetnamajor $6 - $84 18%
Cignamajor $112 342%
Humanamajor $29 - $105 89%
Ambetter (Centene) $31 95%
+ 6 smaller / regional plans $28 - $142
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 810 St Vincent's Drive, Birmingham, AL 35205
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals