CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Mercy Health Rehabilitation Hospital
Billing Code: 97112 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$43
about 1.3× the $33 Medicare rate · typically $31–$107
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $43 Cash price $297 Hospital's list price $297
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 | $198 - $397 | 605% |
| Blue Cross Blue Shieldmajor | $198 - $397 | 605% |
| Aetnamajor | $198 - $397 | 605% |
| Cignamajor | $198 - $397 | 605% |
| Humanamajor | $198 - $397 | 605% |
| Ambetter (Centene) | $198 - $397 | 605% |
| CareSource | $198 - $397 | 605% |
| Devoted Health | $198 - $397 | 605% |
| Medical Mutual | $109 - $397 | 333% |
| Molina | $198 - $397 | 605% |
| UPMC Health Plan | $198 - $397 | 605% |
| + 1 smaller / regional plan | $135 - $270 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Health Rehabilitation Hospital
Compare: Physical therapy (neuromuscular re-education) at other OH hospitals
- Institute for Orthopaedic Surgery · Lima $20
- Cincinnati Children's Hospital Medical Center · Cincinnati $23
- University of Toledo Medical Center · Toledo $30
- Blanchard Valley Hospital · Findlay $30
- Licking Memorial Hospital · Newark $30
- Bluffton Hospital · Bluffton $30
- Riverside Methodist Hospital · Columbus $31
- Wilson Memorial Hospital · Sidney $31
Insurance negotiated median for the same procedure, sorted lowest first.