CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: St Anthony Community Hospital
Billing Code: 97112 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$196
about 5.9× the $33 Medicare rate · typically $41–$244
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $196 Cash price $422 Hospital's list price $422
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 | $193 - $244 | 590% |
| Blue Cross Blue Shieldmajor | $196 - $1,209 | 599% |
| Aetnamajor | $339 - $377 | 1036% |
| Cignamajor | $295 | 901% |
| CDPHP | $211 | 645% |
| Geisinger | $116 | 354% |
| MagnaCare | $390 - $413 | 1192% |
| Molina | $37 | 113% |
| MVP Health Care | $35 - $286 | 107% |
| + 7 smaller / regional plans | $35 - $270 |
Government programs also on file: Medicare, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Anthony Community Hospital
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.