CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Parkridge Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $33
  • Cash Discount Price: $551
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Parkridge Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $551. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.01x the Medicare baseline. Located in 2333 McCallie Ave, Chattanooga, TN.
Cash / Self-Pay
$551

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $551 (1683%)
Insurance Median: $33 (101%)
Cash: $551 (1683% of Medicare)
Ins. Median: $33 (101% 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.

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 $20 - $171 61%
Wellpoint $25 - $28 76%
Amerigroup $27 - $84 82%
Devoted Health Plan $27 - $31 82%
Healthspring $27 - $31 82%
Hearth Hospice $27 - $31 82%
Humana $27 - $358 82%
Sarah Cannon Research $27 - $31 82%
United $27 - $248 82%
United Behavioral Health $27 - $31 82%
Aetna $28 - $326 86%
Wellcare $28 - $110 86%
Zing $28 - $32 86%
American Health Advantage $29 - $33 89%
Clover Insurance $29 - $33 89%
Evergreen Hmo $29 - $33 89%
Signature Advantage $29 - $33 89%
Atrio Golden Times $30 - $34 92%
Bright Health $32 - $132 98%
Prime Health $39 - $485 119%
Corvel Corporation $40 - $46 122%
Novanet $40 - $46 122%
Ambetter / Centene $80 - $88 244%
Kentucky Labor Cabinet $101 309%
Apex Health $105 321%
Nhc Advantage, Inc. $105 321%
Pruitt Health (Allyalign) $105 321%
Peach State $110 336%
Cigna $139 - $441 425%
Health One Alliance $254 - $375 776%
Value Option $276 843%
Magellan Behavioral Health $331 1011%
Multiplan $331 1011%
North Ga Health Services $358 1094%
Employers Health Network $386 1179%
Olympus Managed Healthcare $386 1179%
Mhnet $413 1262%
Compsych $441 1347%
Beech Street $485 1482%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 McCallie Ave, Chattanooga, TN 37404
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals