CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Winnmed

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$49
about 1.5× the $33 Medicare rate · typically $31–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $11 under the fair price · 1.2× Medicare
Medicare pays $33 Fair price $49 This hospital $38 Cash price $89 Hospital's list price $127

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $26 Priciest $38

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (neuromuscular re-education) is about $49 (about 1.5× the $33 Medicare rate). Winnmed charges insurers about $38, or about $89 in cash — below the fair price — a good deal. Located in Decorah, IA.

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 $29 - $74 89%
Blue Cross Blue Shieldmajor $43 - $250 131%
Aetnamajor $20 - $123 61%
HealthPartners $34 - $116 104%
Medica $30 - $121 92%
+ 1 smaller / regional plan $121

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 901 Montgomery Street, Decorah, IA 52101
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals