CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Elkhart General Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$31
about 0.9× the $33 Medicare rate · typically $30–$104
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
0.9× Medicare
Medicare pays $33 Fair price $31 This hospital $31 Cash price $66 Hospital's list price $102

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 $31

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 $31 (about 0.9× the $33 Medicare rate). Elkhart General Hospital charges insurers about $31, or about $66 in cash — about the fair price. Located in Elkhart, IN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $16 - $69 49%
Blue Cross Blue Shieldmajor $21 - $58 64%
Aetnamajor $31 - $69 95%
Cignamajor $73 - $78 223%
Humanamajor $31 - $71 95%
CareSource $49 - $133 150%
Devoted Health $20 - $32 61%
+ 9 smaller / regional plans $16 - $133
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: 600 E Blvd, Elkhart, IN 46514
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals