CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Penobscot Valley Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$64
about 1.9× the $33 Medicare rate · typically $43–$85
modeled estimate · not a bill or quote
What this hospital charges insurers
$64
About the fair price
1.9× Medicare
Medicare pays $33 Fair price $64 This hospital $64 Cash price $105 Hospital's list price $131

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Highest price of the 9 ME hospitals we have prices for — worth calling around.

Cheapest $31 Priciest $64

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

A fair price for a Physical therapy (neuromuscular re-education) is about $64 (about 1.9× the $33 Medicare rate). Penobscot Valley Hospital charges insurers about $64, or about $105 in cash — about the fair price. Located in Lincoln, ME.

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 $57 - $110 174%
Blue Cross Blue Shieldmajor $59 - $65 180%
Aetnamajor $58 - $132 177%
Cignamajor $116 - $130 354%
Humanamajor $58 - $64 177%
Harvard Pilgrim $118 - $132 361%
WellCare $58 - $64 177%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 7 Transalpine Road, Po Box 368, Lincoln, ME 04457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals