CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Jeff Davis Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $47
Cash Discount Price: $21
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Jeff Davis Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.44x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $21 (64%)

Insurance Median: $47 (144%)

Cash: $21 (64% of Medicare)

Ins. Median: $47 (144% 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
Humana	$12 - $52	37%
Medicaid / KanCare	$12 - $33	37%
Peach_State	$12	37%
Wellcare	$12	37%
Blue Cross Blue Shield	$19 - $46	58%
Care_Improvement_Plus	$19	58%
Medicare (plans)	$19	58%
Coventry_Hmo	$43	131%
Coventry_Pos	$43	131%
Uhc_Hmo	$46	141%
Uhc_Indemnity	$46	141%
Uhc_Ppo	$46	141%
Coventry_Ppo	$47	144%
Beech_Street	$49	150%
Care_Source	$49	150%
Cigna	$49	150%
One_Health_Ppo	$49	150%
Pen_Network	$49	150%
Choicecare	$52	159%
Community_Care_Network	$52	159%
Georgia_Hospital_Network	$52	159%
Industry_Buying_Group	$52	159%
Novanet	$52	159%
Principal_Health_Care_Of_Georgia	$52	159%
Three_Rivers_Provider_Network	$52	159%
Usa_Managed_Care	$52	159%
Memorial_Health_Partners	$55	168%
Tricare	$57	174%
Multiplan	$58	177%

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 $21.
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 Jeff Davis 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.