CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Okeene Municipal Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $78
Cash Discount Price: $93
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Okeene Municipal Hospital is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 2.38x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$93

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $93 (284%)

Insurance Median: $78 (238%)

Cash: $93 (284% of Medicare)

Ins. Median: $78 (238% 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 238% of the Medicare baseline (a markup of 138%). 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
Pref Community Choice Ppo-All Plans	$17	52%
Blue Cross Blue Shield	$42 - $68	128%
Coventry Mcr Adv	$66	202%
Global Health Mcr Adv	$66	202%
Humana	$66 - $116	202%
Medicare (plans)	$66	202%
UnitedHealthcare	$66 - $82	202%
Cigna	$71	217%
Ihs-All Plans	$75	229%
Aetna	$81 - $116	247%
Healthchoice Ip Only-All Plans	$81	247%
Ok Complete Health Comm-All Other Plans	$81	247%
Global Health-All Other Plans	$86	263%
Healthcare Highways-All Plans	$87	266%
Phcs Savility/Multiplan - All Plans	$87	266%
Medica Commercial-All Other Plans	$89	272%
Community Care Hmo-All Plans	$104	318%
Ok Complete Health Mcaid	$116	354%

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 $93.
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 Okeene Municipal Hospital 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.