CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Little Falls Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.5× the $33 Medicare rate · typically $28–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $15 under the fair price · 1.0× Medicare
Medicare pays $33 Fair price $48 This hospital $33 Cash price $40 Hospital's list price $147

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 $33

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 $48 (about 1.5× the $33 Medicare rate). Little Falls Hospital charges insurers about $33, or about $40 in cash — below the fair price — a good deal. Located in Little Falls, NY.

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 $31 - $41 95%
Blue Cross Blue Shieldmajor $31 - $146 95%
Aetnamajor $33 - $44 101%
Cignamajor $113 - $125 345%
Humanamajor $33 - $44 101%
CDPHP $32 - $42 98%
Fidelis Care $33 - $44 101%
MVP Health Care $33 - $42 101%
+ 1 smaller / regional plan $31 - $41

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Facility Profile & Credentials

  • Address: 140 Burwell Street, Little Falls, NY 13365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals