CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Wayne County 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 $126 Hospital's list price $126
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 | $45 - $51 | 137% |
| Blue Cross Blue Shieldmajor | $167 - $184 | 510% |
| Aetnamajor | $39 - $102 | 119% |
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Other Procedures at Wayne County 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.