CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Providence St Mary Medical Center

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$47
about 1.4× the $33 Medicare rate · typically $27–$203
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
about $1 under the fair price · 1.4× Medicare
Medicare pays $33 Fair price $47 This hospital $46 Cash price $342 Hospital's list price $712

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $14 Priciest $46

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (neuromuscular re-education) is about $47 (about 1.4× the $33 Medicare rate). Providence St Mary Medical Center charges insurers about $46, or about $342 in cash — about the fair price. Located in Apple Valley, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Aetna✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldCignaHumana

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
Aetnamajor $41 125%
Kaiser Permanentemajor $105 321%
+ 1 smaller / regional plan $44 - $49

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 18300 Highway 18, Apple Valley, CA 92307
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals