CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Penn State Health St. Joseph

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.1× the $33 Medicare rate · typically $25–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $33 Fair price $35 This hospital $32 Cash price $52 Hospital's list price $199

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 $32

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 $35 (about 1.1× the $33 Medicare rate). Penn State Health St. Joseph charges insurers about $32, or about $52 in cash — about the fair price. Located in Reading, 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 $32 - $135 98%
Blue Cross Blue Shieldmajor $27 - $119 82%
Aetnamajor $32 - $85 98%
Cignamajor $122 373%
Humanamajor $32 98%
AmeriHealth $27 - $32 82%
Cigna HealthSpring $32 98%
Geisinger $28 - $144 86%
HealthPartners $29 - $32 89%
UPMC Health Plan $32 - $147 98%
+ 3 smaller / regional plans $30 - $99
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2500 Bernville Road, Reading, PA 19605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals