CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Mercy Hospital Berryville
Billing Code: 97112 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97112
- Insurance Median: $59
- Cash Discount Price: $94
- vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Mercy Hospital Berryville is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.80x the Medicare baseline. Located in 214 Carter Street, Berryville, AR.
Cash / Self-Pay
$94
Average discount available for prompt cash payment at this facility.
Insurance Median
$59
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: $94 (287%)
Insurance Median: $59 (180%)
Cash: $94 (287% of Medicare)
Ins. Median: $59 (180% 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 |
|---|---|---|
| Blue Cross Blue Shield | $28 - $48 | 86% |
| Medicaid / KanCare | $28 - $56 | 86% |
| UnitedHealthcare | $28 - $166 | 86% |
| Aetna | $37 | 113% |
| American Health Advantage Of Mo Mcr [20264] | $37 | 113% |
| Cherokee Nation Health Serv Contracted [320066] | $37 | 113% |
| Cross Timbers Hospice [20098] | $37 | 113% |
| Dept Of Veteran Affairs Contracted [320106] | $37 | 113% |
| Elara Caring Aspire Hospice [20433] | $37 | 113% |
| Globalhealth Contracted [320145] | $37 | 113% |
| Halo Hcr Inc Hospice Contracted [320432] | $37 | 113% |
| Halo Hcr Inc Hospice [20432] | $37 | 113% |
| Humana | $37 - $123 | 113% |
| Independent Health [20197] | $37 | 113% |
| Indian Health Service Contracted [320198] | $37 | 113% |
| Indian Health Service [20198] | $37 | 113% |
| Jordan Valley Senior Care Pace [20515] | $37 | 113% |
| Kindful Hospice Contracted [320434] | $37 | 113% |
| Kindful Hospice [20434] | $37 | 113% |
| Medical Associates Health [20444] | $37 | 113% |
| Medicare (plans) | $37 - $39 | 113% |
| Mercy Hospice Okc [20252] | $37 | 113% |
| Mercy Mgd Behavioral Health Contracted [320259] | $37 | 113% |
| Pace Of The Ozarks [20518] | $37 | 113% |
| Provider Partners Health Plans Contracted [320450] | $37 | 113% |
| Qual Choice Contracted [320325] | $37 | 113% |
| Spina Bifida Hlthcare Benefit [20506] | $37 | 113% |
| Valir Pace [20503] | $37 | 113% |
| Wellfirst Health Mcr [20443] | $37 | 113% |
| Tricare | $38 | 116% |
| Cigna | $39 | 119% |
| Mercy Interfacility [20513] | $42 | 128% |
| Healthscope Contracted [320182] | $46 | 141% |
| Ambetter / Centene | $56 | 171% |
| Home State Health Plan Contracted [320187] | $56 | 171% |
| Novasys Contracted [320285] | $59 | 180% |
| Administrative Payor Contracted [320005] | $65 | 199% |
| Auxiant Contracted [320462] | $87 - $130 | 266% |
| Healthlink Contracted [320179] | $94 - $123 | 287% |
| Mercy Benefit Admin Contracted [320251] | $94 - $123 | 287% |
| Personify Health Contracted [320051] | $94 | 287% |
| Preferred Health Plan Contracted [320522] | $94 | 287% |
| Qual Choice Contracted [320324] | $100 | 306% |
| Insurance System Inc Contracted [320465] | $116 | 354% |
| Point C Contracted [320238] | $116 | 354% |
| 90 Degree Benefits Contracted [320436] | $123 | 376% |
| Aither Health Contracted [320449] | $123 | 376% |
| Benefit Management Contracted [320052] | $123 | 376% |
| Ebms Contracted [320493] | $123 | 376% |
| Edison Health Solutions Contracted [320502] | $123 | 376% |
| First Health Contracted [320128] | $123 | 376% |
| Healthsmart Preferred Care Contracted [320184] | $123 | 376% |
| Imagine 360 Contracted [320494] | $123 | 376% |
| Medica Contracted [320239] | $123 | 376% |
| Ppo Plus Contracted [320310] | $123 | 376% |
| Reflect Health Contracted [320492] | $123 | 376% |
| Show-Me Health Administrators Contracted [320483] | $123 | 376% |
| United Medical Resources Contracted [320454] | $123 - $166 | 376% |
| Multiplan Contracted [320270] | $138 | 422% |
| Private Health Care Systems Contracted [320320] | $138 | 422% |