CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Tufts Medical Center
Billing Code: 97112 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$63
about 1.9× the $33 Medicare rate · typically $36–$126
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $63 Cash price $157 Hospital's list price $224
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 | $224 - $317 | 684% |
| Blue Cross Blue Shieldmajor | $121 - $324 | 370% |
| Aetnamajor | $78 - $144 | 238% |
| Cignamajor | $163 - $238 | 498% |
| AmeriHealth | $78 | 238% |
| AvMed | $78 | 238% |
| GEHA | $78 | 238% |
| Harvard Pilgrim | $288 - $317 | 880% |
| Tufts Health Plan | $64 - $197 | 196% |
| WellSense | $59 - $80 | 180% |
| + 103 smaller / regional plans | $78 - $324 |
Government programs also on file: Medicaid.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Tufts Medical Center
Compare: Physical therapy (neuromuscular re-education) at other MA hospitals
- Nantucket Cottage Hospital · Nantucket $33
- Spaulding Rehabilitation Hospital Cape Cod · East Sandwich $33
- Anna Jaques Hospital · Newburyport $34
- Milford Regional Medical Center · Milford $34
- North Adams Regional Hospital Corporation · North Adams $34
- Newton-Wellesley Hospital · Newton $35
- Brigham and Women's Hospital · Boston $35
- Brigham and Women Faulkner Hospital · Jamaica Plain $35
Insurance negotiated median for the same procedure, sorted lowest first.