Physical therapy (neuromuscular re-education)
Facility: Menorah Medical Center
Billing Code: 97112 (CPT)
- CPT Billing Code: 97112
- Insurance Median: $45
- Cash Discount Price: $237
- vs. Medicare Baseline: 1.37x 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 |
|---|---|---|
| Devoted Health | $27 - $31 | 82% |
| Humana | $27 - $70 | 82% |
| Amerigroup | $27 | 82% |
| Coventry | $27 - $95 | 82% |
| United | $27 - $107 | 82% |
| Blue Cross Blue Shield | $27 - $107 | 82% |
| Aetna | $28 - $121 | 86% |
| Unicare | $28 | 86% |
| Wellcare | $28 - $32 | 86% |
| Medicaid / KanCare | $28 | 86% |
| Cigna | $28 - $189 | 86% |
| Healthyblue | $28 | 86% |
| Celtic | $28 - $32 | 86% |
| Pyramid Life | $29 - $33 | 89% |
| Triwest Health Alliance | $30 | 92% |
| Home State Health Plan | $30 | 92% |
| Multiplan | $38 - $175 | 116% |
| Ambetter / Centene | $44 | 134% |
| Nhc Advantage | $45 | 137% |
| Corvel Corporation | $45 - $154 | 137% |
| Oscar | $45 | 137% |
| Oha Network | $46 - $118 | 141% |
| Wppa Providrs Care Network | $47 | 144% |
| Universal Healthcare | $83 | 254% |
| Coventry Kc Mo | $97 | 296% |
| College Park Family Care Center | $102 | 312% |
| Focus Healthcare Mgmt, Inc | $178 | 544% |
| Cco, Inc. | $178 | 544% |
Consumer Guidance & Cost Commentary
For the CPT code 97112, representing neuromuscular re-education physical therapy at Menorah Medical Center in Overland Park, KS, the cash price is $237.00. This cash rate is significantly higher than the state average, which is approximately 72% of the cash price. While commercial insurance plans like Cigna and Multiplan have negotiated rates reaching up to $189 and $175 respectively, these amounts often exceed the cash price for patients with high-deductible plans. Because insurance billing involves administrative overhead that can inflate the baseline price by 20% to 40%, paying cash upfront may result in lower out-of-pocket costs compared to using an in-network plan where the negotiated rate exceeds the cash price.
Patients should verify their specific plan's deductible status before scheduling, as many commercial carriers will not pay anything until the deductible is met, effectively forcing the patient to pay the full negotiated rate. Additionally, patients are encouraged to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can range from 20% to 50% off the billed amount for upfront payment. These discounts bypass costly claims processing and administrative fees, offering immediate liquidity incentives that are not reflected in the standard negotiated rates. Finally, since over 80% of hospital bills contain errors, patients should request a detailed, itemized statement before paying to ensure no services were double-billed or unbundled, and to confirm that the final amount aligns with the cash or negotiated rates discussed.