CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Ouachita County Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $31
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Ouachita County Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 0.95x the Medicare baseline. Located in 638 California Avenue, Camden, AR.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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%)
Insurance Median: $31 (95%)
Ins. Median: $31 (95% 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.

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
Self Pay $26 79%
UnitedHealthcare $26 - $31 79%
Ambetter / Centene $29 89%
Medipak $29 89%
Aetna $31 - $39 95%
Blue Cross Blue Shield $31 - $47 95%
Champva $31 95%
Cigna $31 - $34 95%
Humana $31 95%
Medicare (plans) $31 95%
Medipak Advantage $31 95%
Municipal Health Benefit $31 95%
Qualchoice Advantage $31 95%
Tricare $31 95%
Va Med Center $31 95%
Wellcare Ahc $31 95%
Windsor Sterling $31 95%
Health Advantage $35 - $47 107%
Arkansas Firstsource $47 144%
Blue Advantage $47 144%
Blue Card $47 144%
Amco $52 159%
Mutual Of Omaha $52 159%
Qualchoice Exchange $52 159%
Qualchoice Of Arkansas $52 159%
Usable Life Group Health $52 159%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 638 California Avenue, Camden, AR 71701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals