CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: St Elizabeth Edgewood

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.0× the $33 Medicare rate · typically $32–$48
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $33 Fair price $34 This hospital $33 Cash price $90 Hospital's list price $90

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 $33

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 $34 (about 1.0× the $33 Medicare rate). St Elizabeth Edgewood charges insurers about $33, or about $90 in cash — about the fair price. Located in Edgewood, KY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $32 98%
Blue Cross Blue Shieldmajor $30 - $31 92%
Ambetter (Centene) $62 189%
Devoted Health $33 101%
WellCare $33 101%
+ 1 smaller / regional plan $69 - $76

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Facility Profile & Credentials

  • Address: 1 Medical Village Drive, Edgewood, KY 41017
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals