Physical therapy (neuromuscular re-education)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 97112 (CPT)
- CPT Billing Code: 97112
- Insurance Median: $59
- Cash Discount Price: $108
- vs. Medicare Baseline: 1.80x 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 |
|---|---|---|
| Aetna | $24 - $30 | 73% |
| Medicaid / KanCare | $27 - $81 | 82% |
| Healthy Blue Kansas | $27 - $30 | 82% |
| United | $27 - $115 | 82% |
| United Community Of Missouri | $29 | 89% |
| Missouri Healthnet | $29 | 89% |
| Healthy Blue Missouri | $29 | 89% |
| Home State Health Plan | $29 | 89% |
| Ilumed Aco Reach | $30 | 92% |
| Humana | $30 | 92% |
| Blue Cross Blue Shield | $30 - $65 | 92% |
| Velocity | $36 - $81 | 110% |
| Prime Health Services | $40 - $92 | 122% |
| Americas Choice Provider Network | $75 | 229% |
| Usa Managed Care Organization | $81 | 247% |
| Quiktrip Corporation | $81 | 247% |
| Provider Network Of America | $81 | 247% |
| Multiplan-Phcs | $86 | 263% |
| Medincrease | $97 | 296% |
| Cigna | $104 | 318% |
| Providrs Care | $115 | 351% |
Consumer Guidance & Cost Commentary
For the CPT code 97112, Physical therapy (neuromuscular re-education), the Rehabilitation Hospital Of Overland Park lists a cash median price of $108.00. While this cash rate is significantly higher than the national Medicare benchmark of $32.73, it is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. In this case, the lowest negotiated rate found is $24.00 with Aetna, but the highest is $115.00 with Providrs Care, with many plans ranging between $27.00 and $92.00. Patients with high-deductible plans should carefully compare these negotiated amounts against the cash price, as paying out-of-pocket may sometimes result in a lower total cost if the insurance allowed amount is higher than the cash rate. Additionally, patients should explicitly ask the facility about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%.
When reviewing your final invoice, ensure you receive a detailed, itemized bill rather than a summary statement, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If you receive a balance bill for services rendered at an in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency services from out-of-network providers at in-network hospitals. If you do receive an unexpected balance bill, do not pay immediately; instead, contact your insurance provider to request a No Surprises Act audit and dispute the charge