CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: St James Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.1× the $33 Medicare rate · typically $28–$52
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $33 Fair price $35 This hospital $36 Cash price $58 Hospital's list price $116

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $30 Priciest $36

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

A fair price for a Physical therapy (neuromuscular re-education) is about $35 (about 1.1× the $33 Medicare rate). St James Hospital charges insurers about $36, or about $58 in cash — about the fair price. Located in Hornell, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $31 95%
Blue Cross Blue Shieldmajor $31 - $70 95%
Aetnamajor $31 95%
Cignamajor $49 150%
Humanamajor $31 95%
MVP Health Care $36 - $49 110%
+ 1 smaller / regional plan $31
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals