CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Medstar Health Physical Therapy

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.2× the $33 Medicare rate · typically $34–$43
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
1.2× Medicare
Medicare pays $33 Fair price $38 This hospital $38 Cash price $61 Hospital's list price $93

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

Lowest price of the 4 DC hospitals we have prices for — a strong deal.

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 $38 (about 1.2× the $33 Medicare rate). Medstar Health Physical Therapy charges insurers about $38, or about $61 in cash — about the fair price. Located in Washington, DC.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $36 - $239 110%
Blue Cross Blue Shieldmajor $36 - $62 110%
Aetnamajor $37 - $68 113%
Cignamajor $76 - $82 232%
Humanamajor $38 116%
Kaiser Permanentemajor $38 - $76 116%
+ 2 smaller / regional plans $38 - $42
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 102 Irving St Nw, Washington, DC 20010
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL