CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Longview Regional Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $33
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Longview Regional Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.01x the Medicare baseline. Located in 2901 N Fourth St, Longview, TX.
Cash / Self-Pay
$51

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: $51 (156%)
Insurance Median: $33 (101%)
Cash: $51 (156% 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
Medicaid / KanCare $8 - $31 24%
Superior $8 - $48 24%
UnitedHealthcare $8 - $66 24%
Self Pay $13 - $21 40%
Amerigroup $30 - $31 92%
Healthspring $31 95%
Humana $31 95%
Medicare (plans) $31 95%
Node Champva $31 95%
Tricare $31 95%
Veterans Eval Services $31 95%
Aetna $32 - $160 98%
Blue Cross Blue Shield $32 - $70 98%
Node Hospice Non Par Agree $32 98%
Node Triwest $32 98%
Node Va $32 98%
American Health Mcr Adv $33 101%
Node Amerigroup Mcr Adv $33 101%
Provider Partners Health Plan $33 101%
Wellness Pointe $38 116%
Node Us Dept Of Labor $50 153%
Access Direct Platinum $54 165%
Node Brookshire Brothers $56 171%
Texas Rehab Commission $56 - $59 171%
Node Brookshire Brothers Work Comp Tx $59 180%
Work Comp $64 196%
Nx Health Network $72 - $75 220%
Cigna $123 376%
Health Smart $123 - $165 376%
Gregg Co Detention Center $130 - $136 397%
Verity Health Net $130 - $136 397%
Multiplan $146 - $200 446%
Aim Administrators $168 - $176 513%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2901 N Fourth St, Longview, TX 75605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals