CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Woodland Heights Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $33
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Woodland Heights Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.01x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$42

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: $42 (128%)
Insurance Median: $33 (101%)
Cash: $42 (128% 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
Self Pay $6 - $28 18%
Medicaid / KanCare $13 - $44 40%
UnitedHealthcare $13 - $126 40%
Superior $14 - $43 43%
Blue Cross Blue Shield $18 - $115 55%
Amerigroup $19 - $44 58%
Tricare $30 - $31 92%
Department Of Veterans Affairs $31 95%
Humana $31 95%
Medicare (plans) $31 95%
Texas Rehab Commission $31 - $71 95%
Veterans Eval Services $31 95%
Node Triwest $32 98%
Node Va $32 98%
American Health Mcr Adv $33 101%
Node Amerigroup Mcr Adv $33 101%
Node Procare Advantage $33 101%
Provider Partners Health Plan $33 101%
Angelina County $48 147%
Corporate Remedies $48 147%
Partners Direct Health $48 147%
Node Us Dept Of Labor $50 153%
Cigna $54 - $214 165%
Node Brookshire Brothers $56 171%
Node Brookshire Brothers Work Comp Tx $59 180%
Usa Managed Care $59 180%
Work Comp $64 196%
Aetna $66 - $241 202%
Multiplan $81 - $241 247%
Unicare $88 - $199 269%
Galaxy Health Network $106 - $241 324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals