CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Boston Children's Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$143
about 4.3× the $33 Medicare rate · typically $42–$147
modeled estimate · not a bill or quote
What this hospital charges insurers
$120
Below the fair price — a good deal
about $23 under the fair price · 3.6× Medicare
Medicare pays $33 Fair price $143 This hospital $120 Cash price $200 Hospital's list price $200

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 $120

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 $143 (about 4.3× the $33 Medicare rate). Boston Children's Hospital charges insurers about $120, or about $200 in cash — below the fair price — a good deal. Located in Boston, 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 $120 - $170 367%
Blue Cross Blue Shieldmajor $113 - $132 345%
Aetnamajor $120 - $168 367%
Cignamajor $170 - $180 519%
Humanamajor $180 550%
Ambetter (Centene) $126 385%
CDPHP $98 - $170 299%
Harvard Pilgrim $102 - $135 312%
Tufts Health Plan $123 376%
UniCare $114 348%
+ 8 smaller / regional plans $122 - $180
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 Longwood Avenue, Boston, MA 02115
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens