CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Good Samaritan Hospital Medical Center

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$71
about 2.2× the $33 Medicare rate · typically $31–$173
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $71 Hospital's list price $253

How we calculate the fair BaseRate →

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 $82 - $303 251%
Blue Cross Blue Shieldmajor $92 - $122 281%
Aetnamajor $126 - $356 385%
Cignamajor $164 - $293 501%
AmeriHealth $114 348%
Fidelis Care $82 - $184 251%
Independent Health $82 251%
MVP Health Care $82 - $293 251%
Oscar Health $104 318%
UniCare $164 501%
+ 37 smaller / regional plans $51 - $356
Government programs also on file: Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 1000 Montauk Highway, West Islip, NY 11795
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals