Physical therapy (neuromuscular re-education)
Facility: Minneola District Hospital
Billing Code: 97112 (CPT)
- CPT Billing Code: 97112
- Insurance Median: $71
- Cash Discount Price: $55
- vs. Medicare Baseline: 2.17x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 217% of the Medicare baseline (a markup of 117%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $50 | 153% |
| Humana | $53 | 162% |
| Va Community Care Program-All Plans | $53 | 162% |
| UnitedHealthcare | $53 - $79 | 162% |
| Providrs Care Network-All Plans | $67 | 205% |
| Corporate Plan Management-All Plans | $67 | 205% |
| Preferred Health Care (Coventry)-All Other Plans | $71 | 217% |
| Triwest-All Plans | $71 | 217% |
| Phc (Coventry) Leased Network | $75 | 229% |
| Aetna | $75 - $79 | 229% |
| Health Partners Of Kansas-All Plans | $75 | 229% |
| Medicaid / KanCare | $79 | 241% |
Consumer Guidance & Cost Commentary
For the CPT code 97112, Physical therapy (neuromuscular re-education), at Minneola District Hospital in Minneola, KS, the facility's gross charge is $79.00. The median negotiated rate across 12 payers is $71.00, which aligns with the facility's median negotiated rate. This rate is significantly higher than the Medicare benchmark of $32.73, reflecting a markup common in commercial billing structures. While the cash median price is $55.00, patients should be aware that paying out-of-pocket may not always be the most cost-effective option if their insurance plan has a high deductible or if the negotiated rate is lower than the cash price. It is crucial to verify your specific plan's allowed amount before scheduling to ensure you are not paying more than necessary.
Patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% for upfront payments. Since the facility is a Critical Access Hospital owned by a Government Hospital District, these discounts may be particularly relevant for those without insurance or with high-deductible plans. Additionally, because the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you can dispute any unexpected charges without fear of credit damage. Always request a full, itemized bill before paying to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain inaccuracies that can be corrected through a formal written audit dispute.