CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: UPMC Kane

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$39
about 1.2× the $33 Medicare rate · typically $25–$77
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
Below the fair price — a good deal
about $10 under the fair price · 0.9× Medicare
Medicare pays $33 Fair price $39 This hospital $29 Cash price $70 Hospital's list price $116

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 $39 (about 1.2× the $33 Medicare rate). UPMC Kane charges insurers about $29, or about $70 in cash — below the fair price — a good deal. Located in Kane, 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✓ Cigna HumanaKaiser 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 - $74 58%
Blue Cross Blue Shieldmajor $25 - $175 76%
Aetnamajor $18 - $58 55%
Cignamajor $58 - $3,399 177%
AmeriHealth $26 - $60 79%
Geisinger $23 70%
UPMC Health Plan $18 - $168 55%
+ 5 smaller / regional plans $29 - $143
Excludes 1 rental-network / third-party entry (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: 4372 Route 6, Kane, PA 16735
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals