CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Saint Joseph Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$99
about 3.0× the $33 Medicare rate · typically $35–$171
modeled estimate · not a bill or quote
What this hospital charges insurers
$108
About the fair price
about $9 over the fair price · 3.3× Medicare
Medicare pays $33 Fair price $99 This hospital $108 Cash price $90 Hospital's list price $192

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $15 Priciest $108

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (neuromuscular re-education) is about $99 (about 3.0× the $33 Medicare rate). Saint Joseph Hospital charges insurers about $108, or about $90 in cash — about the fair price. Located in Lexington, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $47 - $165 144%
Blue Cross Blue Shieldmajor $48 - $64 147%
Aetnamajor $46 - $179 141%
Cignamajor $108 - $174 330%
Humanamajor $45 - $140 137%
Molina $40 - $53 122%
WellCare $48 - $63 147%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: One Saint Joseph Drive, Lexington, KY 40504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals