CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Northeastern Vermont Regional Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$65
about 2.0× the $33 Medicare rate · typically $25–$144
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $33 under the fair price · 1.0× Medicare
Medicare pays $33 Fair price $65 This hospital $32 Cash price $101 Hospital's list price $134

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

One of the lower prices — 5 of 7 other VT hospitals charge more for the same procedure.

Cheapest $31 Priciest $115

Black dot = this hospital, among the 8 VT 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 $65 (about 2.0× the $33 Medicare rate). Northeastern Vermont Regional Hospital charges insurers about $32, or about $101 in cash — below the fair price — a good deal. Located in Saint Johnsbury, VT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $127 388%
Blue Cross Blue Shieldmajor $50 153%
Harvard Pilgrim $125 382%
+ 1 smaller / regional plan $32 - $48

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: 1315 Hospital Drive, Saint Johnsbury, VT 05819
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals