CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Ad Hospital East, LLC

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.5× the $33 Medicare rate · typically $29–$202
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
About the fair price
about $5 over the fair price · 1.6× Medicare
Medicare pays $33 Fair price $48 This hospital $53 Cash price $204 Hospital's list price $204

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 $53

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (neuromuscular re-education) is about $48 (about 1.5× the $33 Medicare rate). Ad Hospital East, LLC charges insurers about $53, or about $204 in cash — about the fair price. Located in Houston, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $53 162%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 12950 East Freeway, Suite 100, Houston, TX 77015
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals