Physical therapy (neuromuscular re-education)
Facility: Labette Health
Billing Code: 97112 (CPT)
- CPT Billing Code: 97112
- Insurance Median: $41
- Cash Discount Price: $81
- vs. Medicare Baseline: 1.25x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Uhccp | $20 | 61% |
| Medicaid / KanCare | $27 - $52 | 82% |
| Healthy Blue | $28 | 86% |
| Ambetter / Centene | $29 - $47 | 89% |
| Montgomery County | $38 | 116% |
| Wellcare | $41 | 125% |
| UnitedHealthcare | $41 - $101 | 125% |
| Humana | $41 | 125% |
| Blue Cross Blue Shield | $41 - $50 | 125% |
| Multiplan | $98 | 299% |
| Health Partners Of Kansas, Inc | $104 | 318% |
| Choicecare (First Health Network) | $104 | 318% |
Consumer Guidance & Cost Commentary
For CPT code 97112, Physical therapy (neuromuscular re-education), Labette Health in Parsons, KS charges a gross list price of $116.00. While the facility offers a cash median rate of $81.00, which is lower than the negotiated rates paid by most insurance plans, patients should be aware that their actual out-of-pocket cost depends heavily on their specific plan. Many commercial payers, including UnitedHealthcare and Blue Cross Blue Shield, negotiate rates ranging from $41.00 to $101.00, which often exceed the cash price. If you have a high-deductible plan or have not yet met your deductible, paying the cash rate of $81.00 upfront could result in significant savings compared to the insurance negotiated amount, provided you secure a prompt-pay discount before the claim is submitted.
The facility is a government-owned acute care hospital in a rural area, and its pricing structure reflects the local market dynamics where cash payments can be more economical than insurance processing. To maximize savings, patients should request a prompt-pay discount, which typically reduces the bill by 20% to 50% when paid in full within 30 days, effectively bypassing the administrative costs associated with insurance claims. It is critical to sign a waiver of insurance submission before check-in to ensure the cash rate applies; otherwise, the hospital may automatically submit a claim to the insurer, voiding the discount and potentially triggering balance billing if the patient's plan does not cover the full negotiated rate. Always verify your deductible status and ask for an itemized bill to confirm that no services were bundled or double-charged.