CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Perry County Memorial Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $146
Cash Discount Price: $174
vs. Medicare Baseline: 4.46x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Perry County Memorial Hospital is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $174. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 4.46x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$174

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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: $174 (532%)

Insurance Median: $146 (446%)

Cash: $174 (532% of Medicare)

Ins. Median: $146 (446% 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 446% of the Medicare baseline (a markup of 346%). 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
Medicaid / KanCare	$34 - $440	104%
Veterans Administration	$36 - $440	110%
Bc 130	$38 - $352	116%
Group Insurance	$38 - $440	116%
Medicare (plans)	$38 - $114	116%
Workers Compensation	$73 - $220	223%
Nsa	$86 - $272	263%
Guarantor Liable	$102 - $440	312%
Pcmh Insurnace	$114 - $440	348%
Secondary Insurance	$117 - $352	357%
UnitedHealthcare	$117 - $352	357%
Operating Engineers	$124 - $374	379%
Boilermakers Healthcare	$127 - $383	388%
Cigna	$127 - $383	388%
Great West	$127 - $440	388%
Sagxxxx	$127 - $383	388%
Champus	$146 - $440	446%
Ngs American, Inc	$146 - $440	446%
Patoka Valley	$146 - $440	446%
Southwire	$146 - $440	446%
Tricare	$146 - $440	446%
Wausau Benefits	$146 - $440	446%

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 $174.
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 Perry County 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.