CMS Price Transparency Data
Physical therapy (neuromuscular re-education)
Facility: Stephens Memorial Hospital
Billing Code: 97112 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$85
about 2.6× the $33 Medicare rate · typically $32–$129
modeled estimate · not a bill or quote
Medicare pays $33 Fair price $85 Cash price $72 Hospital's list price $103
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $36 - $80 | 110% |
| Blue Cross Blue Shieldmajor | $81 - $105 | 247% |
| Aetnamajor | $82 - $87 | 251% |
| Cignamajor | $73 - $76 | 223% |
| Humanamajor | $37 - $39 | 113% |
| + 1 smaller / regional plan | $111 |
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Other Procedures at Stephens Memorial Hospital
Compare: Physical therapy (neuromuscular re-education) at other TX hospitals
- PAM Specialty Hospital of Texarkana North · Texarkana $21
- Parkland Health & Hospital System · Dallas $22
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $22
- Coryell Memorial Hospital · Gatesville $24
- Winkler County Memorial Hospital · Kermit $26
- Titus Regional Medical Center · Mount Pleasant $28
- Childrens Medical Ctr of Dallas · Dallas $28
- Childrens Medical Center Plano · Plano $28
Insurance negotiated median for the same procedure, sorted lowest first.