CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Pulaski Memorial Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $117
Cash Discount Price: $125
vs. Medicare Baseline: 3.57x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Pulaski Memorial Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 3.57x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$125

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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: $125 (382%)

Insurance Median: $117 (357%)

Cash: $125 (382% of Medicare)

Ins. Median: $117 (357% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 357% of the Medicare baseline (a markup of 257%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Ambetter / Centene	$55	168%
Blue Cross Blue Shield	$55 - $179	168%
Caresource Mcaid Hip	$55	168%
Caresource Mcare Hmo	$55	168%
Cenpatico Mcaid Hip	$55	168%
Mdwise Mcaid Hip - All Other Plans	$55	168%
Mhs Mcaid Hip	$55	168%
UnitedHealthcare	$55 - $179	168%
Humana	$56 - $144	171%
Mhs Mcare Allwell	$56	171%
Aetna	$64	196%
Caresource Exch Hmo Hix - All Other Plans	$69	211%
Sagamore Rose Acre	$133	406%
Sagamore - All Other Plans	$135	412%
Encore Ppo - All Other Plans	$152	464%
Community Health Alliance - All Plans	$159	486%
Encore Workers Comp	$161	492%
Multiplan - All Plans	$161	492%
Cigna	$170	519%
Caresource Mcaid Hhw	$179	547%
Cenpatico Mcaid Hhw - All Other Plans	$179	547%
Mdwise Mcaid Hcc	$179	547%
Mdwise Mcaid Hhw	$179	547%
Mhs Mcaid Hhw/Hcc	$179	547%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $125.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Pulaski Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.