CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Atrium Health Floyd Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $59
Cash Discount Price: $65
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Atrium Health Floyd Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.80x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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%)

Cash / Self-Pay: $65 (199%)

Insurance Median: $59 (180%)

Cash: $65 (199% of Medicare)

Ins. Median: $59 (180% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$22	67%
Caresource	$22 - $45	67%
Peach State Health Plan	$22	67%
Awc Networks	$25	76%
Oscar Health Plan	$25 - $46	76%
Blue Cross Blue Shield	$30 - $98	92%
Cigna	$30 - $250	92%
Georgia Assurance	$30	92%
Humana	$30 - $84	92%
UnitedHealthcare	$30 - $98	92%
Aetna	$31 - $88	95%
Clover	$31	95%
Wellcare	$31	95%
Alliant Health Plans	$45 - $52	137%
Ambetter / Centene	$45	137%
Beacon	$65	199%
Evernorth	$65	199%
Multiplan	$91	278%
Occunet	$100	306%
Beech Street	$101	309%
Private Health Care Systems	$110	336%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $65.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Floyd Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.