Physical therapy (neuromuscular re-education)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 97112 (CPT)
- CPT Billing Code: 97112
- Insurance Median: $31
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.95x 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 |
|---|---|---|
| Saint Lukes Health Systems | $30 | 92% |
| Via Christi Research | $30 | 92% |
| Va | $30 | 92% |
| Humana | $30 | 92% |
| Vc Hope | $30 | 92% |
| Medicare (plans) | $30 - $31 | 92% |
| Blue Cross Blue Shield | $31 | 95% |
| UnitedHealthcare | $31 - $85 | 95% |
| Corizon | $38 | 116% |
| Smarthealth | $43 | 131% |
| Medicaid / KanCare | $52 | 159% |
| Coventry City Of Wichita | $75 | 229% |
| Aetna | $106 | 324% |
Consumer Guidance & Cost Commentary
For the CPT code 97112, representing physical therapy neuromuscular re-education, the negotiated rates at Via Christi Hospital Wichita St Teresa, Inc. range from $30 to $106 across 13 different payers. The median negotiated rate is $31.00, which aligns closely with the state average for Kansas. While some commercial payers like UnitedHealthcare have a wider range of $31 to $85, the facility's baseline rates for most major insurers, including Saint Lukes Health Systems, Via Christi Research, and VA, are fixed at $30. This pricing structure reflects the facility's status as a voluntary non-profit church-owned acute care hospital in Wichita, KS (ZIP 67235).
Patients should be aware that while insurance often covers these services, the actual amount paid can vary significantly based on plan specifics. The Medicare benchmark for this service is $32.73, which serves as a reliable cost baseline; many commercial negotiated rates, such as those from Corizon ($38) and Aetna ($106), exceed this federal rate. For individuals with high-deductible plans, paying the cash price directly or utilizing a prompt-pay discount may result in lower out-of-pocket costs compared to the insurance negotiated rate, as administrative fees and claim processing can inflate the final bill. It is recommended to contact the billing department directly to confirm self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can bypass standard insurance billing cycles and reduce overall costs.