CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Madison Memorial Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.1× the $33 Medicare rate · typically $31–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
Below the fair price — a good deal
about $5 under the fair price · 0.9× Medicare
Medicare pays $33 Fair price $36 This hospital $31 Cash price $61 Hospital's list price $82

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 1 of 8 other ID hospitals charge more for the same procedure.

Cheapest $29 Priciest $32

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

A fair price for a Physical therapy (neuromuscular re-education) is about $36 (about 1.1× the $33 Medicare rate). Madison Memorial Hospital charges insurers about $31, or about $61 in cash — below the fair price — a good deal. Located in Rexburg, ID.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $31 95%
Aetnamajor $31 95%
Moda Health $63 192%
Molina $31 95%
SelectHealth $32 98%
+ 3 smaller / regional plans $31 - $53
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 450 East Main Street, Rexburg, ID 83440
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals