CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: George Washington Univ Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$73
about 2.2× the $33 Medicare rate · typically $36–$135
modeled estimate · not a bill or quote
What this hospital charges insurers
$135
Well above the fair price
about $62 over the fair price · 4.1× Medicare
Medicare pays $33 Fair price $73 This hospital $135 Cash price $165 Hospital's list price $413

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

Highest price of the 4 DC hospitals we have prices for — worth calling around.

Cheapest $38 Priciest $135

Black dot = this hospital, among the 4 DC hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (neuromuscular re-education) is about $73 (about 2.2× the $33 Medicare rate). George Washington Univ Hospital charges insurers about $135, or about $165 in cash — well above the fair price. Located in Washington, DC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $73. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $23 - $130 70%
Aetnamajor $247 755%
Cignamajor $116 - $124 354%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 900 23Rd St Nw, Washington, DC 20037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals