CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Prosser Memorial Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$73
about 2.2× the $33 Medicare rate · typically $24–$137
modeled estimate · not a bill or quote
What this hospital charges insurers
$135
Well above the fair price
about $62 over the fair price · 4.1× Medicare
Medicare pays $33 Fair price $73 This hospital $135 Cash price $93 Hospital's list price $169

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $20 Priciest $135

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

A fair price for a Physical therapy (neuromuscular re-education) is about $73 (about 2.2× the $33 Medicare rate). Prosser Memorial Hospital charges insurers about $135, or about $93 in cash — well above the fair price. Located in Prosser, WA.

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 $73. 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.

6 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 - $135 110%
Blue Cross Blue Shieldmajor $135 - $152 412%
Aetnamajor $51 - $144 156%
Cignamajor $139 425%
Humanamajor $43 - $144 131%
Kaiser Permanentemajor $34 - $154 104%
Ambetter (Centene) $118 - $130 361%
Amerigroup $38 - $73 116%
Molina $38 - $68 116%
WellCare $42 128%
+ 6 smaller / regional plans $36 - $152
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 723 Memorial Street, Prosser, WA 99350
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals