CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: UPMC Presbyterian Shadyside

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$32
about 1.0× the $33 Medicare rate · typically $29–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $33 Fair price $32 This hospital $29 Cash price $210 Hospital's list price $350

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.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (neuromuscular re-education) is about $32 (about 1.0× the $33 Medicare rate). UPMC Presbyterian Shadyside charges insurers about $29, or about $210 in cash — about the fair price. Located in Pittsburgh, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $20 61%
Blue Cross Blue Shieldmajor $25 - $175 76%
Aetnamajor $22 - $88 67%
Humanamajor $298 910%
AmeriHealth $27 82%
Fidelis Care $262 800%
Geisinger $26 79%
HealthPartners $25 76%
UPMC Health Plan $18 - $109 55%
+ 6 smaller / regional plans $29 - $298
Excludes 3 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

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Facility Profile & Credentials

  • Address: 200 Lothrop Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals