CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Ortonville Area Health Services
Billing Code: 97112 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$88
about 2.7× the $33 Medicare rate · typically $35–$140
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $88 Cash price $103 Hospital's list price $121
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $58 - $106 | 177% |
| Blue Cross Blue Shieldmajor | $44 - $177 | 134% |
| HealthPartners | $60 - $108 | 183% |
| Medica | $58 - $117 | 177% |
| Sanford Health Plan | $111 | 339% |
| UCare | $58 | 177% |
| + 2 smaller / regional plans | $58 - $117 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Ortonville Area Health Services
Compare: Physical therapy (neuromuscular re-education) at other MN hospitals
- Madison Hospital · Madison $29
- Gillette Childrens Specialty Hospital · Saint Paul $29
- Essentia Health St Mary's Medical Center · Duluth $32
- Range Regional Health Services · Hibbing $32
- Essentia Health St Joseph's Medical Center · Brainerd $32
- Essentia Health Virginia · Virginia $32
- Essentia Health St Marys - Detroit Lakes · Detroit Lakes $32
- Essentia Health Deer River · Deer River $32
Insurance negotiated median for the same procedure, sorted lowest first.