CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Monroe County Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$122
about 3.7× the $33 Medicare rate · typically $37–$189
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $122 Cash price $101 Hospital's list price $169

How we calculate the fair BaseRate →

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 $71 - $161 217%
Blue Cross Blue Shieldmajor $72 - $200 220%
Aetnamajor $72 - $159 220%
Humanamajor $72 220%
Amerigroup $72 - $87 220%
GEHA $135 412%
Molina $86 263%
+ 5 smaller / regional plans $71 - $164
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6580 165Th Street, Albia, IA 52531
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals