CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Emerson Hospital -

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$66
about 2.0× the $33 Medicare rate · typically $37–$82
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $11 under the fair price · 1.7× Medicare
Medicare pays $33 Fair price $66 This hospital $55 Cash price $104 Hospital's list price $138

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 $55

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 $66 (about 2.0× the $33 Medicare rate). Emerson Hospital - charges insurers about $55, or about $104 in cash — below the fair price — a good deal. Located in W Concord, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 - $138 110%
Blue Cross Blue Shieldmajor $36 - $112 110%
Aetnamajor $88 269%
Cignamajor $126 385%
Tufts Health Plan $36 110%
+ 1 smaller / regional plan $78
Government programs also on file: Medicare, Medicaid.
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: 133 Old Road To 9 Acre Corner, W Concord, MA 01742
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals