CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$54
about 1.6× the $33 Medicare rate · typically $33–$73
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
About the fair price
about $1 under the fair price · 1.6× Medicare
Medicare pays $33 Fair price $54 This hospital $53 Cash price $70 Hospital's list price $108

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $31 Priciest $53

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (neuromuscular re-education) is about $54 (about 1.6× the $33 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $53, or about $70 in cash — about the fair price. Located in Ontario, OR.

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 $32 - $104 98%
Blue Cross Blue Shieldmajor $32 - $92 98%
Aetnamajor $32 - $102 98%
Cignamajor $32 - $102 98%
Humanamajor $32 - $95 98%
Ambetter (Centene) $32 98%
Dean Health Plan $97 296%
GEHA $102 - $104 312%
Health Net $32 - $91 98%
HealthPartners $32 - $84 98%
Meridian $32 98%
Moda Health $61 - $105 186%
Molina $32 98%
PacificSource $65 - $102 199%
Paramount $32 - $97 98%
Presbyterian $32 98%
Priority Health $102 312%
SelectHealth $59 - $97 180%
Tufts Health Plan $32 98%
WellSense $32 98%
+ 93 smaller / regional plans $32 - $103
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 351 Sw 9Th Street, Ontario, OR 97914
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals