CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Major Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$69
about 2.1× the $33 Medicare rate · typically $34–$132
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
About the fair price
about $6 under the fair price · 1.9× Medicare
Medicare pays $33 Fair price $69 This hospital $63 Cash price $55 Hospital's list price $178

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 $63

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 $69 (about 2.1× the $33 Medicare rate). Major Hospital charges insurers about $63, or about $55 in cash — about the fair price. Located in Shelbyville, 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 $116 354%
Blue Cross Blue Shieldmajor $88 - $178 269%
Aetnamajor $150 458%
Cignamajor $176 538%
Humanamajor $160 489%
Ambetter (Centene) $63 192%
CareSource $60 183%
+ 2 smaller / regional plans $98 - $155
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: 2451 Intelliplex Dr, Shelbyville, IN 46176
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals