CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Carilion Giles Community Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 1.1× the $33 Medicare rate · typically $33–$43
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
About the fair price
about $2 under the fair price · 1.1× Medicare
Medicare pays $33 Fair price $37 This hospital $35 Cash price $61 Hospital's list price $174

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $30 Priciest $35

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

A fair price for a Physical therapy (neuromuscular re-education) is about $37 (about 1.1× the $33 Medicare rate). Carilion Giles Community Hospital charges insurers about $35, or about $61 in cash — about the fair price. Located in Pearisburg, VA.

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 $35 - $142 107%
Blue Cross Blue Shieldmajor $34 104%
Aetnamajor $35 - $116 107%
Cignamajor $117 - $125 357%
Humanamajor $35 107%
Sentara $34 - $108 104%
+ 8 smaller / regional plans $96 - $165

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Facility Profile & Credentials

  • Address: 159 Hartley Way, Pearisburg, VA 24134
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals