CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Phoenix Children's Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$139
about 4.2× the $33 Medicare rate · typically $29–$350
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $139 Hospital's list price $455

How we calculate the fair BaseRate →

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✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $503 - $637 1537%
Blue Cross Blue Shieldmajor $153 - $207 467%
Aetnamajor $208 - $334 636%
Cignamajor $317 - $473 969%
+ 3 smaller / regional plans $182 - $296
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 1919 East Thomas Road, Phoenix, AZ 85016
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens