CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Frankfort Regional Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $32
  • Cash Discount Price: $623
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Frankfort Regional Medical Center is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $623. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 0.98x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.
Cash / Self-Pay
$623

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)
Cash / Self-Pay: $623 (1903%)
Insurance Median: $32 (98%)
Cash: $623 (1903% of Medicare)
Ins. Median: $32 (98% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $27 - $31 82%
Blue Cross Blue Shield $27 - $172 82%
Devoted Health $27 - $31 82%
Humana $27 - $172 82%
United Behavioral Health $27 - $31 82%
United Va $27 - $31 82%
Wellcare $27 - $36 82%
Horizon Pace $28 - $32 86%
United $28 - $280 86%
Molina $50 153%
Corvel $100 306%
Prime Health $100 306%
Coventry Cares $112 342%
Signature Advantage $118 361%
Cigna $183 559%
Essence Healthcare $280 855%
Baptist Health Network $337 1030%
Hospice Of Central Kentucky $393 1201%
Occupational Mc Alliance $499 1525%
Multiplan $592 1809%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 299 Kings Daughters Drive, Frankfort, KY 40601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals