CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$135
about 4.1× the $33 Medicare rate · typically $41–$199
modeled estimate · not a bill or quote
What this hospital charges insurers
$134
About the fair price
about $1 under the fair price · 4.1× Medicare
Medicare pays $33 Fair price $135 This hospital $134 Cash price $110 Hospital's list price $190

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $28 Priciest $134

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

A fair price for a Physical therapy (neuromuscular re-education) is about $135 (about 4.1× the $33 Medicare rate). Gundersen St Josephs Hospital and Clinics charges insurers about $134, or about $110 in cash — about the fair price. Located in Hillsboro, WI.

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 $101 - $133 309%
Blue Cross Blue Shieldmajor $94 - $352 287%
Aetnamajor $180 550%
Cignamajor $156 477%
Humanamajor $162 495%
Amerigroup $15 46%
Quartz $104 318%
Security Health Plan $37 113%
UCare $99 - $152 302%
+ 4 smaller / regional plans $94 - $178
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals