CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Mississippi Baptist Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $54
Cash Discount Price: $23
vs. Medicare Baseline: 1.65x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Mississippi Baptist Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.65x the Medicare baseline. Located in 1225 N State St, Jackson, MS.

Cash / Self-Pay

$23

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $23 (70%)

Insurance Median: $54 (165%)

Cash: $23 (70% of Medicare)

Ins. Median: $54 (165% 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.

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
Aetna	$23 - $46	70%
Magnolia Ms	$30	92%
UnitedHealthcare	$31 - $162	95%
Advanced Health Systems Inc.	$34	104%
Blue Cross Blue Shield	$34	104%
Ppo Holdings	$41	125%
Ppo Plus	$43	131%
Magnolia Regional Health Center	$44	134%
Multiplan	$47 - $82	144%
Mpcn	$49	150%
Humana	$53	162%
Littler	$54	165%
Medi Share	$54	165%
Molina	$54	165%
First Choice Health Plan Of Ms	$58	177%
Primewell	$65	199%
Occunet	$85	260%
Christian Health Aid	$87	266%
Cigna	$161	492%

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 $23.
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 Mississippi Baptist Medical Center 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.