CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Kearney County Health Services Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $58
Cash Discount Price: $62
vs. Medicare Baseline: 1.77x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Kearney County Health Services Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.77x the Medicare baseline. Located in 727 East 1St St, Minden, NE.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$58

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: $62 (189%)

Insurance Median: $58 (177%)

Cash: $62 (189% of Medicare)

Ins. Median: $58 (177% 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
Blue Cross Blue Shield	$34 - $47	104%
Medica	$34 - $169	104%
Humana	$37 - $47	113%
UnitedHealthcare	$37 - $82	113%
Total Care	$38 - $49	116%
Aetna	$39 - $163	119%
Great Plains	$39 - $50	119%
Healthy Blue	$39 - $50	119%
Multiplan	$67 - $84	205%
Healthnet	$68 - $86	208%
Triwest	$68 - $86	208%
Molina	$70 - $89	214%
Private Healthcare Systems And Multiplan	$112 - $141	342%

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 $62.
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 Kearney County Health Services Hospital 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.