Physical therapy (neuromuscular re-education)

For the CPT code 97112, representing neuromuscular re-education physical therapy, the University of KS Health System Great Bend Campus lists a gross charge of $114.00. While the facility offers a cash median rate of $23.00, which is significantly lower than the negotiated rates paid by most insurance plans, patients should be aware that commercial insurance often results in higher out-of-pocket costs due to deductibles and administrative fees. The negotiated rates range from $30 to $150 across 30 different payers, with many plans paying between $48 and $91. Because the cash price is substantially below the average negotiated amount, patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, provided they confirm the facility's "self-pay" or "prompt-pay" discounts before scheduling to avoid unexpected balance billing.

The facility's pricing structure is evaluated against federal benchmarks, where the Medicare rate of $32.73 serves as a baseline for fair pricing. Commercial negotiated rates generally exceed this benchmark, reflecting the administrative costs and contract dynamics inherent in insurance billing. To ensure transparency and avoid errors, patients should request a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain inaccuracies such as unbundled codes or services not rendered. If a patient receives a balance bill from an out-of-network provider, they may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities, allowing them to dispute the charge formally rather than paying immediately.