CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 97112 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$61
about 1.8× the $33 Medicare rate · typically $33–$135
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $61 Hospital's list price $285
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 - $224 | 104% |
| Blue Cross Blue Shieldmajor | $34 - $457 | 104% |
| Aetnamajor | $34 - $299 | 104% |
| Cignamajor | $35 - $399 | 107% |
| Kaiser Permanentemajor | $152 - $457 | 464% |
| Dean Health Plan | $194 | 593% |
| GEHA | $224 | 684% |
| Harvard Pilgrim | $224 | 684% |
| HealthPartners | $133 - $399 | 406% |
| MagnaCare | $133 - $399 | 406% |
| MVP Health Care | $194 | 593% |
| Paramount | $194 | 593% |
| UniCare | $152 - $457 | 464% |
| + 31 smaller / regional plans | $35 - $457 |
Government programs also on file: Medicare.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Mount Sinai Rehabilitation Hospital Inc
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.