CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Kern Valley Healthcare District

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$47
about 1.4× the $33 Medicare rate · typically $24–$108
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
About the fair price
about $5 over the fair price · 1.6× Medicare
Medicare pays $33 Fair price $47 This hospital $52 Cash price $61 Hospital's list price $292

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 $52

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

A fair price for a Physical therapy (neuromuscular re-education) is about $47 (about 1.4× the $33 Medicare rate). Kern Valley Healthcare District charges insurers about $52, or about $61 in cash — about the fair price. Located in Lake Isabella, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $53 162%
Blue Cross Blue Shieldmajor $80 - $157 244%
Aetnamajor $222 678%
Cignamajor $248 758%
Humanamajor $61 186%
Health Net $23 - $230 70%
+ 1 smaller / regional plan $70
Government programs also on file: Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 6412 Laurel Ave, Lake Isabella, CA 93240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals