CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: University Hospitals Portage Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $89
Cash Discount Price: $134
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at University Hospitals Portage Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 2.72x the Medicare baseline. Located in 6847 N Chestnut, Ravenna, OH.

Cash / Self-Pay

$134

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)

Cash / Self-Pay: $134 (409%)

Insurance Median: $89 (272%)

Cash: $134 (409% of Medicare)

Ins. Median: $89 (272% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 272% of the Medicare baseline (a markup of 172%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$31 - $121	95%
Blue Cross Blue Shield	$31 - $145	95%
Cigna	$31 - $172	95%
Devoted Health	$31	95%
Humana	$31	95%
Medical Mutual Of Ohio	$31 - $98	95%
Molina	$31	95%
Primetime Health Plan	$31	95%
Summacare	$31	95%
The Health Plan	$31 - $117	95%
UnitedHealthcare	$31 - $92	95%
Wellcare By Allwell	$31	95%
Paramount	$32	98%
Perennial Advantage Of Ohio	$32	98%
Valor Health Plans	$32	98%
Ambetter / Centene	$55	168%
Caresource	$55	168%
Amish Aid Community Plan	$82	251%
Amish Church Fund And Workers Aid Plan	$82	251%
Buckeye Plain Ministries	$82	251%
Clarity	$85	260%
Jp Farley	$85	260%
Christian Healthcare Ministries	$89	272%
Immergrun	$89	272%
Sunrise Plain Communities	$89	272%
Aultcare	$98	299%
Healthsmart	$116	354%
Ohio Health Choice	$116 - $160	354%
Medical Mutual Traditional/Health Ohio	$125	382%
Beech Street	$142 - $160	434%
Ohio Preferred Network	$142 - $160	434%
First Health	$148	452%
Century Health Network	$151	461%
Private Healthcare System	$153	467%
Configurenet	$160	489%
Fortified Provider Network	$160	489%
Multiplan	$160	489%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $134.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University Hospitals Portage Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.