Physical therapy (neuromuscular re-education)
Facility: St John's Episcopal Hospital at South Shore
Billing Code: 97112 (CPT)
This hospital's typical commercial price is $37 compared to the $52 fair price benchmark.
1-Star CMS clinical quality rating paired with 0.71× fair market pricing.
Highest price of the 9 NY hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Physical therapy (neuromuscular re-education) is about $52 (about 1.6× the $33 Medicare rate). St John's Episcopal Hospital at South Shore charges insurers about $37, or about $132 in cash — below the fair price — a good deal. Located in Far Rockaway, NY.
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
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 | $37 | 113% |
| Blue Cross Blue Shieldmajor | $37 - $55 | 113% |
| Aetnamajor | $37 - $52 | 113% |
| Humanamajor | $37 | 113% |
| Fidelis Care | $37 | 113% |
| MagnaCare | $174 | 532% |
| Molina | $40 | 122% |
| WellCare | $37 | 113% |
| + 10 smaller / regional plans | $31 - $83 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at St John's Episcopal Hospital at South Shore
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
- Nicholas H Noyes Memorial Hospital · Dansville $31
- Wynn Hospital · Utica $32
- Niagara Falls Memorial Medical Center · Niagara Falls $32
- Bertrand Chaffee Hospital · Springville $32
- Samaritan Medical Center · Watertown $32
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at St John's Episcopal Hospital at South Shore (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $48
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $48).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
St John's Episcopal Hospital at South Shore's published 45 CFR § 180 self-pay cash rate is $132 (vs. $37 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $52 Fair BaseRate ($33 Medicare)
Your bill ($132) is $80 above the denoised Fair BaseRate ($52) and 4.0× the $33 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.