CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $26
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Baptist Health Medical Center - Jacksonville is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 0.79x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)
Insurance Median: $26 (79%)
Ins. Median: $26 (79% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Amerigroup Of Georgia $22 67%
Caresource Of Georgia $22 67%
Daniel Memorial $22 67%
Humana $22 - $24 67%
Peach State Health Plan $22 67%
Corvel $23 - $38 70%
Coventry Workers Comp $23 - $38 70%
Non-Contracted $23 70%
Simply Healthcare Plans $23 - $26 70%
Simply Healthcare Plans - Cha $23 70%
Amerihealth Caritas $24 73%
Florida Community Care $24 - $43 73%
Sunshine State Health Plan $24 73%
United Community Plan $24 73%
Vivida Health $24 73%
Aetna $26 - $42 79%
Molina Healthcare Of Florida $26 79%
Community Hospice Of Northeast Florida $41 125%
Pace $41 125%
Va Ccn $41 125%
Tomorrow'S Rainbow $42 128%
UnitedHealthcare $42 128%
Devoted $44 134%
Upmc $45 137%
Ambetter / Centene $99 302%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals