CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: SSM Health St Mary's Hospital - Madison

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.2× the $33 Medicare rate · typically $28–$84
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $10 under the fair price · 0.8× Medicare
Medicare pays $33 Fair price $38 This hospital $28 Cash price $107 Hospital's list price $194

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Lowest price of the 9 WI hospitals we have prices for — a strong deal.

Cheapest $28 Priciest $32

Black dot = this hospital, among the 9 WI 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 $38 (about 1.2× the $33 Medicare rate). SSM Health St Mary's Hospital - Madison charges insurers about $28, or about $107 in cash — below the fair price — a good deal. Located in Madison, WI.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Dean Health Plan $32 98%
Molina $24 73%

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 700 South Park St, Madison, WI 53715
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals