CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: UPMC Northwest

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.2× the $33 Medicare rate · typically $24–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
Below the fair price — a good deal
about $9 under the fair price · 0.9× Medicare
Medicare pays $33 Fair price $38 This hospital $29 Cash price $80 Hospital's list price $134

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $18 Priciest $29

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

A fair price for a Physical therapy (neuromuscular re-education) is about $38 (about 1.2× the $33 Medicare rate). UPMC Northwest charges insurers about $29, or about $80 in cash — below the fair price — a good deal. Located in Seneca, PA.

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 $19 58%
Blue Cross Blue Shieldmajor $25 - $81 76%
Aetnamajor $20 - $87 61%
Cignamajor $54 - $87 165%
Humanamajor $114 348%
AmeriHealth $26 79%
UPMC Health Plan $18 - $82 55%
+ 4 smaller / regional plans $29 - $3,704
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 Fairfield Drive, Seneca, PA 16346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals