CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Deaconess Hospital Inc

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $46
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Deaconess Hospital Inc is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.41x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)
Cash / Self-Pay: $59 (180%)
Insurance Median: $46 (141%)
Cash: $59 (180% of Medicare)
Ins. Median: $46 (141% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $22 - $101 67%
Blue Cross Blue Shield $22 - $72 67%
Humana $22 - $52 67%
Medicaid / KanCare $22 - $45 67%
Meridiancomplete (Il) $22 67%
Meridianhealth (Il) $22 67%
UnitedHealthcare $22 - $251 67%
Youthcare (Meridian Il) $22 67%
Youthcare (Wellcare Il) $22 67%
Ky Racing Health & Welfare Fund $23 - $59 70%
Self-Pay $23 - $59 70%
Mhnet $25 76%
United Behavioral Health $29 89%
Medicare (plans) $31 95%
Meridiancare (Il) $31 95%
Molina (Il) Mmai $31 95%
Molina Il $31 95%
Mytru Advantage $31 95%
Triwest Vapc3 $31 95%
Wellcare (Il) Mmai $31 95%
Alliance Coal $32 - $62 98%
Caresource In $32 98%
Ambetter / Centene $38 - $107 116%
Caresource In Marketplace $40 122%
Center Care Narrow Select $40 - $106 122%
Center Care Open Access $40 - $115 122%
Chamber Care $40 - $107 122%
Patoka Valley Health Care (80/20 Plan) $40 - $90 122%
Patoka Valley Health Care (90/10 Plan) $40 - $90 122%
Encircle/Encore Combined $42 - $93 128%
Encircle/Encore Elite+ $42 - $89 128%
Encircle/Encore Prime $42 - $84 128%
Allied National $43 - $107 131%
Claimdoc $43 - $107 131%
Healthscope $43 - $107 131%
Deaconess Onecare $46 - $89 141%
Hopetrust $46 - $107 141%
Hstechnology $46 - $107 141%
Iu Health Network $46 - $92 141%
Parkview Signature Care $46 - $122 141%
Noncontracted $49 150%
Healthlink $50 - $152 153%
Naphcare $51 156%
Cigna $52 - $125 159%
Claritev (Formerly Phcs Multiplan) $52 - $109 159%
First Health $52 - $132 159%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $52 - $115 159%
National Rural Electric $59 - $158 180%
Immergrun $75 229%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals