CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Veterans Memorial Hospital
Billing Code: 97112 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$112
about 3.4× the $33 Medicare rate · typically $35–$188
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $112 Cash price $54 Hospital's list price $94
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $40 - $80 | 122% |
| Blue Cross Blue Shieldmajor | $167 | 510% |
| Aetnamajor | $63 | 192% |
| Humanamajor | $40 - $70 | 122% |
| Amerigroup | $31 - $40 | 95% |
| Medica | $40 - $235 | 122% |
| Molina | $40 - $48 | 122% |
| Quartz | $40 - $70 | 122% |
| + 4 smaller / regional plans | $40 - $48 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Veterans Memorial Hospital
Compare: Physical therapy (neuromuscular re-education) at other IA hospitals
- Ottumwa Regional Health Center · Ottumwa $26
- Mercyone Des Moines Medical Center · Des Moines $27
- Mary Greeley Medical Center · Ames $28
- Mercyone Waterloo Medical Center · Waterloo $31
- Mercy Medical Center - Cedar Rapids · Cedar Rapids $32
- Grinnell Regional Medical Center · Grinnell $32
- Guthrie County Hospital · Guthrie Center $32
- Unitypoint Health - Marshalltown · Marshalltown $33
Insurance negotiated median for the same procedure, sorted lowest first.