CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Ira Davenport Memorial Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$40
about 1.2× the $33 Medicare rate · typically $34–$103
modeled estimate · not a bill or quote
What this hospital charges insurers
$124
Well above the fair price
about $84 over the fair price · 3.8× Medicare
Medicare pays $33 Fair price $40 This hospital $124 Cash price $124 Hospital's list price $128

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 $124

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 $40 (about 1.2× the $33 Medicare rate). Ira Davenport Memorial Hospital charges insurers about $124, or about $124 in cash — well above the fair price. Located in Bath, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $40. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $93 - $130 284%
Blue Cross Blue Shieldmajor $31 - $481 95%
Aetnamajor $93 - $119 284%
Cignamajor $77 - $99 235%
Humanamajor $31 - $143 95%
AmeriHealth $31 95%
Fidelis Care $44 - $87 134%
Geisinger $72 - $92 220%
Independent Health $81 - $103 247%
MVP Health Care $77 - $99 235%
UPMC Health Plan $86 - $109 263%
+ 6 smaller / regional plans $16 - $522
Government programs also on file: Military & VA.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 7571 State Route 54, Bath, NY 14810
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital