CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Saint Mary's Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$58
about 1.8× the $33 Medicare rate · typically $32–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
Below the fair price — a good deal
about $18 under the fair price · 1.2× Medicare
Medicare pays $33 Fair price $58 This hospital $40 Cash price $98 Hospital's list price $179

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

A typical price — 4 charge more and 4 charge less, among the 9 CT hospitals compared.

Cheapest $21 Priciest $122

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

A fair price for a Physical therapy (neuromuscular re-education) is about $58 (about 1.8× the $33 Medicare rate). Saint Mary's Hospital charges insurers about $40, or about $98 in cash — below the fair price — a good deal. Located in Waterbury, CT.

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✓ Kaiser Permanente Humana

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 $34 - $314 104%
Blue Cross Blue Shieldmajor $31 - $40 95%
Aetnamajor $34 - $141 104%
Cignamajor $35 - $336 107%
Kaiser Permanentemajor $40 122%
Dean Health Plan $138 422%
GEHA $314 959%
Harvard Pilgrim $314 959%
HealthPartners $336 1027%
MagnaCare $336 1027%
MVP Health Care $138 422%
Paramount $138 422%
UniCare $40 122%
+ 34 smaller / regional plans $35 - $336
Government programs also on file: Medicare.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals