CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Advocate Sherman Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$68
about 2.1× the $33 Medicare rate · typically $34–$157
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
About the fair price
about $10 over the fair price · 2.4× Medicare
Medicare pays $33 Fair price $68 This hospital $78 Cash price $85 Hospital's list price $170

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $22 Priciest $78

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

A fair price for a Physical therapy (neuromuscular re-education) is about $68 (about 2.1× the $33 Medicare rate). Advocate Sherman Hospital charges insurers about $78, or about $85 in cash — about the fair price. Located in Elgin, IL.

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✓ Cigna HumanaKaiser 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 $212 - $268 648%
Blue Cross Blue Shieldmajor $70 - $99 214%
Aetnamajor $116 354%
Cignamajor $88 - $112 269%
Ambetter (Centene) $48 147%
Molina $48 147%
Oscar Health $49 150%
+ 2 smaller / regional plans $63 - $74
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1425 North Randall Road, Elgin, IL 60123
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals