CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Swedish Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$50
about 1.5× the $33 Medicare rate · typically $35–$119
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $2 under the fair price · 1.5× Medicare
Medicare pays $33 Fair price $50 This hospital $48 Cash price $165 Hospital's list price $165

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 $48

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (neuromuscular re-education) is about $50 (about 1.5× the $33 Medicare rate). Swedish Hospital charges insurers about $48, or about $165 in cash — about the fair price. Located in Chicago, IL.

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 $42 - $63 128%
Aetnamajor $32 - $48 98%

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 5145 N California Ave, Chicago, IL 60625
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals