CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: The Miriam Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$67
about 2.0× the $33 Medicare rate · typically $35–$86
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
About the fair price
about $2 under the fair price · 2.0× Medicare
Medicare pays $33 Fair price $67 This hospital $65 Cash price $165 Hospital's list price $165

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

A typical price — 2 charge more and 2 charge less, among the 5 RI hospitals compared.

Cheapest $34 Priciest $118

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (neuromuscular re-education) is about $67 (about 2.0× the $33 Medicare rate). The Miriam Hospital charges insurers about $65, or about $165 in cash — about the fair price. Located in Providence, RI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $33 - $77 101%
Aetnamajor $34 104%
Cignamajor $188 574%
Tufts Health Plan $121 370%
+ 1 smaller / regional plan $61

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: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals