CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Fort Duncan Medical Center

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 2.9× the $33 Medicare rate · typically $33–$101
modeled estimate · not a bill or quote
What this hospital charges insurers
$99
About the fair price
about $4 over the fair price · 3.0× Medicare
Medicare pays $33 Fair price $95 This hospital $99 Cash price $129 Hospital's list price $323

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $99

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (neuromuscular re-education) is about $95 (about 2.9× the $33 Medicare rate). Fort Duncan Medical Center charges insurers about $99, or about $129 in cash — about the fair price. Located in Eagle Pass, TX.

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✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $34 - $164 104%
Blue Cross Blue Shieldmajor $94 - $115 287%
Aetnamajor $218 - $316 666%
Cignamajor $173 - $250 529%
Molina $43 - $63 131%
+ 3 smaller / regional plans $43 - $172
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3333 N Foster Maldonado Blvd, Eagle Pass, TX 78852
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals