CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Good Shepherd Rehabilitation Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $40
Cash Discount Price: $33
vs. Medicare Baseline: 1.22x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Good Shepherd Rehabilitation Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.22x the Medicare baseline. Located in 3200 Center Valley Parkway, Center Valley, PA.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)

Cash / Self-Pay: $33 (101%)

Insurance Median: $40 (122%)

Cash: $33 (101% of Medicare)

Ins. Median: $40 (122% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Lehigh Valley Health Network	$18	55%
Multiplan	$21	64%
Prime Health	$21	64%
Geisinger	$27 - $44	82%
Devon Health	$28	86%
Blue Cross Blue Shield	$29 - $115	89%
Humana	$29 - $31	89%
Amerihealth Caritas PA	$31 - $44	95%
Choice Care	$31	95%
Cigna	$31 - $148	95%
Clover Health	$31	95%
Everyday Life	$31	95%
Highmark Wholecare	$31 - $49	95%
Keystone First	$31 - $44	95%
Medicare (plans)	$31	95%
PA Health and Wellness	$31 - $36	95%
UPMC	$32 - $49	98%
Aetna	$51 - $144	156%
Highmark	$60	183%
UnitedHealthcare	$79	241%
Amerihealth	$115	351%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $33.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Good Shepherd Rehabilitation Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.