CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $55
Cash Discount Price: $81
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Medical West, An Affiliate of UAB Health System is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.68x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$81

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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: $81 (247%)

Insurance Median: $55 (168%)

Cash: $81 (247% of Medicare)

Ins. Median: $55 (168% 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.

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
Aetna	$10 - $109	31%
Cigna	$15 - $213	46%
Viva	$30 - $78	92%
Triwest	$31	95%
Phcs	$37 - $109	113%
Beech Street	$38 - $109	116%
One Health Plan	$40 - $101	122%
Geha	$43 - $109	131%
Healthchoice	$43 - $109	131%
Alamed	$48 - $122	147%
Construction Claims Management	$49 - $126	150%
Corvel	$50 - $140	153%
Multiplan	$50 - $128	153%
Novanet	$51 - $130	156%
Humana	$52 - $133	159%
Department Of Labor	$53 - $136	162%
Heritage Summit Health	$53 - $136	162%
Pnoa	$55 - $140	168%
Three Rivers	$55 - $140	168%
UnitedHealthcare	$166	507%

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 $81.
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 Medical West, An Affiliate of UAB Health System 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.