CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Promedica Monroe Regional Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$31
about 0.9× the $33 Medicare rate · typically $31–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $33 Fair price $31 This hospital $32 Cash price $83 Hospital's list price $128

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $17 Priciest $32

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

A fair price for a Physical therapy (neuromuscular re-education) is about $31 (about 0.9× the $33 Medicare rate). Promedica Monroe Regional Hospital charges insurers about $32, or about $83 in cash — about the fair price. Located in Monroe, MI.

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✓ Humana CignaKaiser 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 $19 - $104 58%
Blue Cross Blue Shieldmajor $18 - $72 55%
Aetnamajor $18 - $90 55%
Humanamajor $32 98%
AmeriHealth $59 180%
Health Net $90 275%
Meridian $17 52%
Molina $18 55%
Paramount $30 - $97 92%
Priority Health $17 - $70 52%
+ 2 smaller / regional plans $31 - $105
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 718 N Macomb St, Monroe, MI 48162
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals