CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Decatur County Memorial Hospital
Billing Code: 97112 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$115
about 3.5× the $33 Medicare rate · typically $23–$247
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $115 Cash price $237 Hospital's list price $316
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $43 - $182 | 131% |
| Blue Cross Blue Shieldmajor | $43 - $629 | 131% |
| Aetnamajor | $51 - $478 | 156% |
| Cignamajor | $115 - $484 | 351% |
| CareSource | $45 - $310 | 137% |
| + 8 smaller / regional plans | $43 - $610 |
Government programs also on file: Medicaid.
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Other Procedures at Decatur County Memorial Hospital
Compare: Physical therapy (neuromuscular re-education) at other IN hospitals
- Ascension St Vincent Kokomo · Kokomo $25
- Ascension St Vincent Anderson · Anderson $25
- Ascension St Vincent Evansville · Evansville $25
- St Vincent Heart Center · Carmel $25
- Ascension St Vincent Carmel · Carmel $25
- Ascension St Vincent Fishers · Fishers $25
- Ascension St Vincent Randolph · Winchester $25
- Ascension St Vincent Jennings · North Vernon $25
Insurance negotiated median for the same procedure, sorted lowest first.