CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Monterey Park Hospital
Billing Code: 97112 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97112
- Insurance Median: $37
- Cash Discount Price: $288
- vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Monterey Park Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $288. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.13x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$288
Average discount available for prompt cash payment at this facility.
Insurance Median
$37
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: $288 (880%)
Insurance Median: $37 (113%)
Cash: $288 (880% of Medicare)
Ins. Median: $37 (113% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Accountable Ipa | $10 | 31% |
| Allied Physicians | $10 - $54 | 31% |
| Alta Med Health Services Corp | $10 - $72 | 31% |
| Altamed Health Network | $10 - $36 | 31% |
| Assess Ipa | $10 | 31% |
| Blue Cross Blue Shield | $10 - $231 | 31% |
| Care 1St Mcl/Gar Cap | $10 | 31% |
| Family Health Alliance Medical Group | $10 - $60 | 31% |
| Healthnet Inc | $10 | 31% |
| La Care | $10 - $36 | 31% |
| Medical Managed Care Program | $10 | 31% |
| Molina Healthcare | $10 | 31% |
| Preferred Ipa Of California | $10 | 31% |
| Access Ipa Ancillary | $12 - $37 | 37% |
| Ahmc Healthcare Inc | $12 - $86 | 37% |
| Altamed Health Services | $12 | 37% |
| Applecare Medical Group | $12 - $29 | 37% |
| Associated Hispanic Physicians Ancillary | $12 - $29 | 37% |
| Beverly Hospital | $12 - $40 | 37% |
| Brand New Day | $12 - $45 | 37% |
| Community Health Plan | $12 | 37% |
| Esperanza Medical Group Ipa | $12 - $60 | 37% |
| Health Net Medi Cal | $12 | 37% |
| Healthy Way La | $12 | 37% |
| La Care Health Plan | $12 - $158 | 37% |
| Other Non-Contracted Medi-Cal | $12 | 37% |
| Preferred Ipa | $12 - $45 | 37% |
| Alhambra Community Dialysis Unit Inc | $13 - $173 | 40% |
| Aids Health Foundation | $14 - $36 | 43% |
| Avanti | $14 - $43 | 43% |
| Emanate Health | $14 - $45 | 43% |
| Hollywood Presbyterian Adv Med Mcal | $14 | 43% |
| Hollywood Presbyterian Medpoint Mcal | $14 | 43% |
| Maxi Med Inc/Ipa | $14 - $36 | 43% |
| Medi Cal | $14 | 43% |
| Pacific Independent Physician Association | $14 - $60 | 43% |
| Bella Vista Medical Group Ancillary | $18 | 55% |
| Central Health Plan | $18 | 55% |
| Caloptima Direct | $21 | 64% |
| Veterans Administration | $25 | 76% |
| Altamed Health Services Corporation | $29 | 89% |
| Bella Vista Medical Group | $29 - $86 | 89% |
| Care 1St M Cal | $29 | 89% |
| Crown City Medical Group Inc | $29 | 89% |
| Physician Healthways | $29 - $55 | 89% |
| Universal Care M Cal/Advantage Health Network | $29 | 89% |
| Aetna | $32 - $210 | 98% |
| Interplan | $32 - $216 | 98% |
| Preferred Health Network | $32 - $230 | 98% |
| Senior Citizens Choice | $32 | 98% |
| Asi Flex Ppo W/C | $33 | 101% |
| Athens Administrators | $33 | 101% |
| Indemnity W Comp Fee Schedule | $33 | 101% |
| Multiplan | $33 - $245 | 101% |
| Alignment Health Plan | $36 | 110% |
| Apa/Aco Inc | $36 | 110% |
| Blue Shield Of California | $36 - $433 | 110% |
| Cms | $36 | 110% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $36 | 110% |
| Easy Choice Health Plan | $36 | 110% |
| First Health Senior | $36 | 110% |
| Foundation Health Plan | $36 | 110% |
| Health Net | $36 - $135 | 110% |
| Health Net Inc | $36 - $234 | 110% |
| Humana | $36 | 110% |
| La Care Covered Direct | $36 | 110% |
| Medicare (plans) | $36 - $37 | 110% |
| Scan Health Plan | $36 | 110% |
| Secure Horizons | $36 | 110% |
| Self-Pay | $36 | 110% |
| Ucla/Impact Cancer | $36 | 110% |
| UnitedHealthcare | $36 - $202 | 110% |
| Molina Healthcare Medi-Connect | $37 | 113% |
| San Miguel Health Plan | $40 | 122% |
| Ahmc Health Epo | $45 | 137% |
| Knox-Keene Act | $45 | 137% |
| Molina Healthcare Of California | $45 | 137% |
| Garfield Medical Center | $54 | 165% |
| Employee Health Systems Medical Group | $58 | 177% |
| Global Care Medical Group Ipa | $58 - $130 | 177% |
| Healthnet/Ehs Capitation | $58 | 177% |
| Allied Physicians Ipa | $60 | 183% |
| Hispanic Physicians Ipa Medical Corporation | $72 | 220% |
| Ahmc Reciprocity Agreement Senior/Commercial | $86 | 263% |
| Community Health Plan M Cal Joy Ipa | $86 | 263% |
| Tenet Reciprocity | $86 | 263% |
| Healthcare Partners Affiliates Medical Group | $103 | 315% |
| Health Net Of California | $108 - $172 | 330% |
| Molina Medical Centers | $112 | 342% |
| Central Health Plan Of California | $115 | 351% |
| Care 1St Health Plan | $173 | 529% |
| Greater Los Angeles Dialysis Inc | $173 | 529% |
| One Health Plan | $173 - $775 | 529% |
| Choice Care Network | $187 | 571% |
| Healthnet | $187 | 571% |
| Universal Care | $202 | 617% |
| Pacificare | $219 - $263 | 669% |
| Corvel Corporation | $230 - $925 | 703% |
| Bce Emergis Corp | $245 | 749% |
| Commercial Non Contract | $288 | 880% |
| Mri/Ct Greater El Monte Hospital | $288 | 880% |
| Mri/Mra/Alhambra Hospital | $288 | 880% |
| Mri/Mra/Eladh | $288 | 880% |
| One Legacy | $288 | 880% |
| Cigna | $525 | 1604% |