Physical therapy (neuromuscular re-education)
Facility: Johnson Memorial Hospital
Billing Code: 97112 (CPT)
- CPT Billing Code: 97112
- Insurance Median: $122
- Cash Discount Price: $87
- vs. Medicare Baseline: 3.73x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $32.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 373% of the Medicare baseline (a markup of 273%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $34 - $124 | 104% |
| Medicare (plans) | $34 - $36 | 104% |
| UnitedHealthcare | $34 - $369 | 104% |
| Blue Cross Blue Shield | $34 - $122 | 104% |
| Cigna | $35 - $145 | 107% |
| Cca Senior Care Options | $35 | 107% |
| Fallon Health | $45 | 137% |
| Connecticut Dept of Correction | $53 | 162% |
| Innovative Health Plan II | $72 | 220% |
| Claimdoc | $72 | 220% |
| Diversified Administrators | $72 | 220% |
| Centivo | $80 | 244% |
| Health New England | $103 | 315% |
| Wellpoint | $122 | 373% |
| Health Choices | $122 | 373% |
| Blue Shield - Id (Regence) | $122 | 373% |
| Unicare | $122 | 373% |
| Blue Care Network | $122 | 373% |
| Blue Benefit Administrators of Massachusetts | $122 | 373% |
| Blue Shield - PA (Highmark) | $122 | 373% |
| Kaiser Domestic | $122 | 373% |
| Blue Shield - Wa (Regence) | $122 | 373% |
| Blue Shield - Ca | $122 | 373% |
| Bcn Domestic | $122 | 373% |
| Wc Domestic | $122 | 373% |
| Blue Distinction Transplant | $122 | 373% |
| Pre-Employment | $122 | 373% |
| Blue Shield - Ny Highmark Western | $122 | 373% |
| Blue Shield - Ny Highmark Northeastern | $122 | 373% |
| Luminare Health | $124 | 379% |
| Meritain | $124 | 379% |
| Webtpa | $124 | 379% |
| Gravie Admin Services | $124 | 379% |
| Nippon Life Ins | $124 | 379% |
| Allied Benefit Systems | $124 | 379% |
| 1199 National Benefit Fund | $124 | 379% |
| Hap | $124 | 379% |
| Prime Health Services | $127 | 388% |
| Paramount HMO | $132 | 403% |
| Mvp | $132 | 403% |
| Asrm - Reliance Standard Life Insurance | $132 | 403% |
| PHCS | $132 | 403% |
| Lifetime Benefit Solutions | $132 | 403% |
| Pan-American Life | $132 | 403% |
| Family Life Insurance Company | $132 | 403% |
| Dean Health | $132 | 403% |
| International Benefit Administrators | $132 | 403% |
| Ghc Scw | $132 | 403% |
| Manhattan Life | $132 | 403% |
| Pai | $132 | 403% |
| Medi Share | $132 | 403% |
| Trinity Health Share | $132 | 403% |
| Allied National Global Care | $132 | 403% |
| Multiplan | $132 | 403% |
| Christian Care Ministry | $132 | 403% |
| Health Smart | $135 | 412% |
| Allegiance | $145 | 443% |
| Magnacare | $145 | 443% |
| Health Partners | $145 | 443% |
| United Behavioral Health Eap | $159 | 486% |
| Connecticare | $242 - $314 | 739% |
| Harvard Pilgrim Healthcare | $369 | 1127% |
| Geha | $369 | 1127% |