CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Cobalt Rehabilitation Hospital Denver LLC

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $66
Cash Discount Price: $161
vs. Medicare Baseline: 2.02x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Cobalt Rehabilitation Hospital Denver LLC is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 2.02x the Medicare baseline. Located in 6500 W 104Th Ave, Westminster, CO.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$66

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: $161 (492%)

Insurance Median: $66 (202%)

Cash: $161 (492% of Medicare)

Ins. Median: $66 (202% 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 202% of the Medicare baseline (a markup of 102%). 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
Aetna	$29 - $33	89%
Humana	$30 - $110	92%
Blue Cross Blue Shield	$33 - $83	101%
Clear Spring	$33	101%
Cms	$33	101%
Denver Health Plan	$33 - $34	101%
Innovage/Total Long Term Care	$33	101%
Select Health	$33 - $36	101%
UnitedHealthcare	$33 - $122	101%
Velocity Provider Ppo Network	$40 - $121	122%
Prime Health Services	$43 - $137	131%
Wellcare	$110	336%
America'S Choice Provider Network	$113	345%
Quik Trip	$121	370%
Usa Managed Care Organization	$121	370%
Multiplan/Phcs	$129	394%

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 $161.
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 Cobalt Rehabilitation Hospital Denver LLC 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.