CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Saint Joseph Regional Medical Center

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$51
about 1.5× the $33 Medicare rate · typically $44–$75
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
About the fair price
1.5× Medicare
Medicare pays $33 Fair price $51 This hospital $51 Hospital's list price $117

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $25 Priciest $51

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

A fair price for a Physical therapy (neuromuscular re-education) is about $51 (about 1.5× the $33 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $51 — about the fair price. Located in Mishawaka, IN.

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 $18 - $186 55%
Blue Cross Blue Shieldmajor $18 - $186 55%
Aetnamajor $18 - $109 55%
Cignamajor $43 - $107 131%
CareSource $49 150%
GEHA $43 - $106 131%
Health Net $43 - $124 131%
HealthPartners $43 - $107 131%
Medical Mutual $44 - $109 134%
Meridian $32 98%
MVP Health Care $43 - $107 131%
Priority Health $43 - $107 131%
+ 42 smaller / regional plans $17 - $186
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals