CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Parkland Health Center - Bonne Terre

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $165
Cash Discount Price: $133
vs. Medicare Baseline: 5.04x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Parkland Health Center - Bonne Terre is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 5.04x the Medicare baseline. Located in 7245 Raider Road, Bonne Terre, MO.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$165

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)

Cash / Self-Pay: $133 (406%)

Insurance Median: $165 (504%)

Cash: $133 (406% of Medicare)

Ins. Median: $165 (504% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 504% of the Medicare baseline (a markup of 404%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medica [662]	$33	101%
Aetna	$101 - $166	309%
Healthlink [225]	$108 - $168	330%
Cox Health Systems Insurance Company [220]	$122 - $144	373%
Health Alliance [224]	$122	373%
Allied Benefits [498]	$129 - $165	394%
Hope Trust [806]	$129	394%
Coresource [497]	$134	409%
Fmh Benefit Service Inc [222]	$134	409%
Mail Handlers [495]	$134	409%
Cigna	$138 - $178	422%
Healthscope Benefits [258]	$144 - $150	440%
Med-Pay [480]	$144 - $166	440%
Unicare [568]	$144 - $168	440%
Humana	$148	452%
UnitedHealthcare	$150 - $165	458%
Apwu Health Plan [216]	$156	477%
Nalc Health Benefit Plan [242]	$156	477%
Priority Health [648]	$156	477%
First Health Commercial [734]	$165	504%
Beechstreet [551]	$166	507%
Detego Health [868]	$166	507%
Health Systems Inc [620]	$166	507%
Healthcare Sol Mercy [609]	$166	507%
Multiplan Commercial [737]	$166	507%
Multiplan [240]	$166	507%
Phcs [244]	$166 - $178	507%
Preferred Health Professionals [561]	$168	513%
Hfn [563]	$178	544%
Medica [661]	$178	544%
Blue Cross Blue Shield	$189 - $211	577%
Consociate [478]	$227	694%
Sarah Bush Lincoln [636]	$227	694%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $133.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkland Health Center - Bonne Terre is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.