CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Samaritan Hospital of Troy, New York
Billing Code: 97112 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$65
about 2.0× the $33 Medicare rate · typically $33–$130
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $65 Cash price $78 Hospital's list price $120
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $24 - $383 | 73% |
| Blue Cross Blue Shieldmajor | $31 - $297 | 95% |
| Aetnamajor | $34 - $230 | 104% |
| Cignamajor | $269 | 822% |
| Fidelis Care | $58 | 177% |
| GEHA | $230 | 703% |
| Harvard Pilgrim | $383 | 1170% |
| HealthPartners | $269 | 822% |
| Independent Health | $102 | 312% |
| MagnaCare | $102 | 312% |
| Medical Mutual | $230 | 703% |
| MVP Health Care | $158 - $170 | 483% |
| Priority Health | $269 | 822% |
| Tufts Health Plan | $269 | 822% |
| UniCare | $125 | 382% |
| + 22 smaller / regional plans | $32 - $316 |
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Samaritan Hospital of Troy, New York
Compare: Physical therapy (neuromuscular re-education) at other NY hospitals
- Highland Hospital · Rochester $30
- F F Thompson Hospital · Canandaigua $31
- Jones Memorial Hospital · Wellsville $31
- Maimonides Medical Center · Brooklyn $31
- Nicholas H Noyes Memorial Hospital · Dansville $31
- Bertrand Chaffee Hospital · Springville $32
- Samaritan Medical Center · Watertown $32
- Oswego Hospital · Oswego $32
Insurance negotiated median for the same procedure, sorted lowest first.