CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Presbyterian Community 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 $24–$74
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
Below the fair price — a good deal
about $17 under the fair price · 0.6× Medicare
Medicare pays $33 Fair price $37 This hospital $20 Hospital's list price $35
A fair price for a Physical therapy (neuromuscular re-education) is about $37 (about 1.1× the $33 Medicare rate). Presbyterian Community Hospital charges insurers about $20 — below the fair price — a good deal. Located in San Juan, PR.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
0 of 6 major insurers have a published price at this hospital
UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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 |
|---|---|---|
| No insurance-company prices are published for this procedure. | ||
| + 4 smaller / regional plans | $14 - $36 | |
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