CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: St Barnabas Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$59
about 1.8× the $33 Medicare rate · typically $32–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
Below the fair price — a good deal
about $6 under the fair price · 1.6× Medicare
Medicare pays $33 Fair price $59 This hospital $53 Cash price $38 Hospital's list price $102

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 $53

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 $59 (about 1.8× the $33 Medicare rate). St Barnabas Hospital charges insurers about $53, or about $38 in cash — below the fair price — a good deal. Located in Bronx, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $53 - $222 162%
Aetnamajor $20 61%
Cignamajor $133 - $156 406%
EmblemHealth $51 - $119 156%
Fidelis Care $33 - $119 101%
WellCare $53 - $55 162%
+ 12 smaller / regional plans $26 - $182

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 4422 Third Avenue, Bronx, NY 10457
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals