CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Fairview Park Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $33
Cash Discount Price: $464
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Fairview Park Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $464. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.01x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.

Cash / Self-Pay

$464

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $464 (1418%)

Insurance Median: $33 (101%)

Cash: $464 (1418% of Medicare)

Ins. Median: $33 (101% 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
Devoted Health	$27 - $31	82%
Health Net	$27 - $30	82%
Hospice Care Options	$27 - $31	82%
Humana	$27 - $31	82%
Southern Care Birmingham	$27 - $31	82%
United	$27 - $209	82%
Aetna	$28 - $256	86%
Blue Cross Blue Shield	$28 - $32	86%
Coventry	$28 - $32	86%
Healthspring	$28 - $31	86%
Wellcare	$28 - $93	86%
Clover	$29 - $33	89%
Eon Health	$29 - $33	89%
Georgia Assurance	$29 - $33	89%
Shared Health	$29 - $33	89%
Ryan White Care Act	$41 - $47	125%
Amerigroup	$62	189%
Ambetter / Centene	$68	208%
Friday Health	$70	214%
Nhc Advantage	$88	269%
Pruitt Health	$88	269%
Peach State	$93	284%
Memorial Health Plan	$102 - $209	312%
Cigna	$126 - $168	385%
Centurion	$128	391%
Americas 1St Choice	$130	397%
Leavitt Risk Partners	$139	425%
Health One Alliance	$213	651%
Dodge County Hospital	$232	709%
American Steel Products	$394	1204%
City Of Eastman	$394	1204%
Dodge Co Board Of Commissioners	$394	1204%
Graham Brothers Construction	$394	1204%
Multiplan	$417	1274%
Novanet	$417	1274%

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 $464.
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 Fairview Park Hospital 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.