CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Page Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $91
Cash Discount Price: $89
vs. Medicare Baseline: 2.78x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Page Hospital is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 2.78x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $89 (272%)

Insurance Median: $91 (278%)

Cash: $89 (272% of Medicare)

Ins. Median: $91 (278% 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 278% of the Medicare baseline (a markup of 178%). 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
Humana	$33 - $53	101%
Arizona Physicians Ipa	$37 - $83	113%
Health Net	$37 - $122	113%
Mercy Care	$37 - $83	113%
Plotkin Health	$70	214%
Aetna	$81 - $142	247%
Banner Health	$83	254%
Banner University Health Plan	$83	254%
Blue Cross Blue Shield	$83 - $123	254%
Care 1St	$83	254%
Cigna	$83 - $144	254%
Gila River Health Care Corporation	$83	254%
Health Choice Arizona, Inc.	$83 - $101	254%
Kaiser Foundation Health Plan	$83	254%
Triwest Healthcare Alliance Corp - Va Ccn	$83	254%
UnitedHealthcare	$83 - $86	254%
Upmc Health Plan	$83	254%
Wellpoint	$83	254%
Carelon	$87	266%
Arizona Priority Care	$91	278%
Devoted Health Services	$91	278%
Gold Kidney Health Plan	$91	278%
Quiktrip Corporation	$109	333%
Coconino County Sheriff'S Department	$114	348%
Oscar Health Plan	$136	416%
Provider Network Of America	$140	428%
Arizona Medical Network	$148	452%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$148	452%

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 $89.
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 Page 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.