CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Gaylord Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$53
about 1.6× the $33 Medicare rate · typically $33–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $19 under the fair price · 1.0× Medicare
Medicare pays $33 Fair price $53 This hospital $34 Cash price $79 Hospital's list price $122

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 7 of 8 other CT hospitals charge more for the same procedure.

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 $53 (about 1.6× the $33 Medicare rate). Gaylord Hospital charges insurers about $34, or about $79 in cash — below the fair price — a good deal. Located in Wallingford, CT.

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 - $160 104%
Blue Cross Blue Shieldmajor $34 - $124 104%
Aetnamajor $34 - $268 104%
Cignamajor $129 394%
Harvard Pilgrim $104 318%
+ 2 smaller / regional plans $34 - $220
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL