Physical therapy (neuromuscular re-education)
Facility: Ascension Via Christi Rehabilitation Hospital 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 |
|---|---|---|
| Medicare (plans) | $30 - $31 | 92% |
| Humana | $30 | 92% |
| Va | $30 | 92% |
| Vc Hope | $30 | 92% |
| UnitedHealthcare | $31 - $85 | 95% |
| Blue Cross Blue Shield | $31 | 95% |
| Smarthealth | $43 | 131% |
| Medicaid / KanCare | $52 | 159% |
| Aetna | $72 - $106 | 220% |
| Coventry City Of Wichita | $75 | 229% |
Consumer Guidance & Cost Commentary
For CPT code 97112, Physical therapy (neuromuscular re-education), at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $30 to $106 depending on the insurance carrier. The median negotiated amount across all payers is $31.00, which aligns closely with the state average. While the facility is a Part A Provider - Hospital, patients should be aware that commercial negotiated rates often include administrative overhead and can sometimes exceed the cash price. For individuals with high-deductible plans, paying cash directly may result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price, though this requires verifying the specific cash rate with the hospital, as it is not currently listed in this report.
To ensure you receive the most accurate pricing, it is essential to request a prompt-pay discount before scheduling your visit, as these upfront payment incentives can significantly reduce the final bill by bypassing costly insurance billing cycles. If you do receive a bill, always demand a full itemized CPT-coded statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written audit. Furthermore, if you are billed for services from an out-of-network provider at this in-network facility, the No Surprises Act protects you from balance billing for non-emergency care, allowing you to dispute any unexpected charges with your insurer or request a federal audit.