CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Clarinda Regional Health Center
Billing Code: 97112 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$94
about 2.8× the $33 Medicare rate · typically $36–$170
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $94 Cash price $63 Hospital's list price $106
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $51 - $101 | 156% |
| Blue Cross Blue Shieldmajor | $52 - $85 | 159% |
| Aetnamajor | $100 | 306% |
| Ambetter (Centene) | $51 - $55 | 156% |
| Amerigroup | $106 | 324% |
| GEHA | $99 | 302% |
| Molina | $51 | 156% |
| + 1 smaller / regional plan | $56 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Clarinda Regional Health Center
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.