CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Cambridge Health Alliance

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$60
about 1.8× the $33 Medicare rate · typically $35–$116
modeled estimate · not a bill or quote
What this hospital charges insurers
$114
Well above the fair price
about $54 over the fair price · 3.5× Medicare
Medicare pays $33 Fair price $60 This hospital $114 Cash price $253 Hospital's list price $253

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $33 Priciest $114

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

A fair price for a Physical therapy (neuromuscular re-education) is about $60 (about 1.8× the $33 Medicare rate). Cambridge Health Alliance charges insurers about $114, or about $253 in cash — well above the fair price. Located in Cambridge, MA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $60. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $69 - $312 211%
Blue Cross Blue Shieldmajor $58 - $380 177%
Aetnamajor $49 - $380 150%
Cignamajor $73 - $380 223%
Humanamajor $125 - $380 382%
Medical Mutual $125 - $380 382%
Tufts Health Plan $64 - $125 196%
+ 32 smaller / regional plans $69 - $380
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1493 Cambridge Street, Cambridge, MA 02139
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals