CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: St Vincent's Medical Center
Billing Code: 97112 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$62
about 1.9× the $33 Medicare rate · typically $31–$180
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $62 Cash price $170 Hospital's list price $170
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $34 - $250 | 104% |
| Blue Cross Blue Shieldmajor | $34 - $229 | 104% |
| Aetnamajor | $34 - $210 | 104% |
| Cignamajor | $245 | 749% |
| Molina | $34 - $225 | 104% |
| Tufts Health Plan | $34 | 104% |
| WellCare | $34 | 104% |
| + 1 smaller / regional plan | $34 |
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Other Procedures at St Vincent's Medical Center
Compare: Physical therapy (neuromuscular re-education) at other CT hospitals
- The Connecticut Hospice Inc. · Branford $21
- Gaylord Hospital · Wallingford $34
- Bristol Hospital · Bristol $36
- St Francis Hospital & Medical Center · Hartford $37
- Saint Mary's Hospital · Waterbury $40
- John Dempsey Hospital of the University of Connect · Farmington $62
- Connecticut Childrens Medical Center · Hartford $87
- Midstate Medical Center · Meriden $97
Insurance negotiated median for the same procedure, sorted lowest first.