CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Boston Medical Center-Brighton

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.3× the $33 Medicare rate · typically $35–$85
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
about $4 under the fair price · 1.2× Medicare
Medicare pays $33 Fair price $42 This hospital $38 Cash price $59 Hospital's list price $131

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 $38

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 $42 (about 1.3× the $33 Medicare rate). Boston Medical Center-Brighton charges insurers about $38, or about $59 in cash — about the fair price. Located in Brighton, MA.

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 $36 110%
Blue Cross Blue Shieldmajor $36 - $210 110%
Aetnamajor $36 - $96 110%
Cignamajor $60 - $119 183%
Humanamajor $36 110%
Harvard Pilgrim $259 791%
Tufts Health Plan $104 - $119 318%
UniCare $51 156%
+ 13 smaller / regional plans $36 - $475
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 736 Cambridge Street, Nevins Building, Brighton, MA 02135
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals