CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Baptist Memorial Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $129
Cash Discount Price: $49
vs. Medicare Baseline: 3.94x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Baptist Memorial Hospital is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 3.94x the Medicare baseline. Located in 6019 Walnut Grove Road, Memphis, TN.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$129

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: $49 (150%)

Insurance Median: $129 (394%)

Cash: $49 (150% of Medicare)

Ins. Median: $129 (394% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 394% of the Medicare baseline (a markup of 294%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$15 - $146	46%
Aetna	$22 - $63	67%
Magnolia Tn	$44 - $48	134%
Humana	$66	202%
Ppo Holdings	$84 - $92	257%
Cooper Realty	$89 - $97	272%
Magnolia Regional Health Center	$89 - $97	272%
Multiplan	$95 - $182	290%
Littler	$111 - $122	339%
Molina	$111 - $122	339%
Ppo Plus	$111 - $194	339%
Mpcn	$115 - $126	351%
First Choice Health Plan Of Ms	$118 - $129	361%
Novasys	$129 - $141	394%
Oscar	$130	397%
Access Health Services	$133 - $146	406%
Butler Snow	$133 - $146	406%
UnitedHealthcare	$133 - $146	406%
Qca	$166 - $182	507%
Christian Health Aid	$178 - $194	544%
St. Jude Children'S Hospital	$200 - $219	611%

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 $49.
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 Baptist Memorial 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.