CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: St Vincent Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$49
about 1.5× the $33 Medicare rate · typically $33–$60
modeled estimate · not a bill or quote
What this hospital charges insurers
$56
About the fair price
about $7 over the fair price · 1.7× Medicare
Medicare pays $33 Fair price $49 This hospital $56 Cash price $205 Hospital's list price $273

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 $56

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (neuromuscular re-education) is about $49 (about 1.5× the $33 Medicare rate). St Vincent Hospital charges insurers about $56, or about $205 in cash — about the fair price. Located in Worcester, MA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $88 - $99 269%
Health Net $24 73%
+ 1 smaller / regional plan $24
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

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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: 123 Summer Street, Worcester, MA 01608
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals