CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: St Marys Rehabilitation Hospital
Billing Code: 97112 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$37
about 1.1× the $33 Medicare rate · typically $29–$100
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $37 Cash price $221 Hospital's list price $221
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $221 | 675% |
| Aetnamajor | $221 | 675% |
| Cignamajor | $221 | 675% |
| Humanamajor | $221 | 675% |
| Ambetter (Centene) | $221 | 675% |
| + 11 smaller / regional plans | $221 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at St Marys Rehabilitation Hospital
Compare: Physical therapy (neuromuscular re-education) at other PA hospitals
- Children's Home of Pittsburgh · Pittsburgh $18
- UPMC Muncy · Muncy $19
- UPMC Wellsboro · Wellsboro $19
- Geisinger-Community Medical Center · Scranton $20
- Geisinger-Bloomsburg Hospital · Bloomsburg $20
- Washington Hospital, The · Washington $20
- Geisinger-Lewistown Hospital · Lewistown $20
- St Lukes Hospital · Bethlehem $20
Insurance negotiated median for the same procedure, sorted lowest first.