Physical therapy (neuromuscular re-education)
Facility: Copley Hospital
Billing Code: 97112 (CPT)
This hospital's typical commercial price is $94 compared to the $79 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.19× fair market pricing.
Highest price of the 9 VT hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 VT hospitals with a price for this procedure. Full list below.
A fair price for a Physical therapy (neuromuscular re-education) is about $79 (about 2.4× the $33 Medicare rate). Copley Hospital charges insurers about $94, or about $96 in cash — above the fair price. Located in Morrisville, VT.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $79. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
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 | $52 - $114 | 159% |
| Blue Cross Blue Shieldmajor | $52 - $113 | 159% |
| Cignamajor | $114 | 348% |
| Harvard Pilgrim | $52 - $106 | 159% |
| MVP Health Care | $52 - $94 | 159% |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Copley Hospital
Compare: Physical therapy (neuromuscular re-education) at other VT hospitals
- Southwestern Vermont Medical Center · Bennington $31
- Brattleboro Memorial Hospital · Brattleboro $32
- Northeastern Vermont Regional Hospital · Saint Johnsbury $32
- Gifford Medical Center · Randolph $35
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $37
- Grace Cottage Hospital · Townshend $38
- Springfield Hospital · Springfield $50
- Porter Hospital Inc · Middlebury $83
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Copley Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $44
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $44).
Self-Pay Cash Rate ($96) Beats Your Bill
Copley Hospital's published 45 CFR § 180 self-pay cash rate is $96 (vs. $94 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $79 Fair BaseRate ($33 Medicare)
Your bill ($120) is $41 above the denoised Fair BaseRate ($79) and 3.6× the $33 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.