Physical therapy (neuromuscular re-education)
Facility: Bmh-Calhoun
Billing Code: 97112 (CPT)
- CPT Billing Code: 97112
- Insurance Median: $129
- Cash Discount Price: $113
- vs. Medicare Baseline: 3.94x 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 394% of the Medicare baseline (a markup of 294%). 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 |
|---|---|---|
| PPO Holdings | $32 - $89 | 98% |
| Magnolia Regional Health Center | $34 - $94 | 104% |
| Tricare | $34 - $96 | 104% |
| Blue Cross Blue Shield | $34 - $104 | 104% |
| Triwest | $36 - $101 | 110% |
| Molina | $36 - $186 | 110% |
| Vaccn | $36 - $101 | 110% |
| Ms Breast and Cervical | $36 - $101 | 110% |
| Devoted Health | $37 - $103 | 113% |
| Primewell | $38 - $106 | 116% |
| Shared Health | $38 - $106 | 116% |
| Aetna | $38 - $152 | 116% |
| American Health Plan | $38 - $106 | 116% |
| Humana | $38 - $187 | 116% |
| Magnolia Ms | $41 - $115 | 125% |
| Littler | $42 - $117 | 128% |
| Cigna | $46 - $129 | 141% |
| First Choice Health Plan of Ms | $54 - $151 | 165% |
| First State Bank Trust | $61 - $171 | 186% |
| Burch Food Services | $61 - $171 | 186% |
| Collierville Schools | $65 - $181 | 199% |
| State Systems | $65 - $181 | 199% |
| Dunn Investment Company | $65 - $181 | 199% |
| Gossett Motor Cars | $65 - $181 | 199% |
| Arlington Community Schools | $65 - $181 | 199% |
| Hattiesburg Clinic | $65 - $181 | 199% |
| Heavy Machines | $65 - $181 | 199% |
| Hollowell Industries | $65 - $181 | 199% |
| Carlisle | $65 - $181 | 199% |
| Minact | $65 - $181 | 199% |
| W W Wood Products | $65 - $181 | 199% |
| Security One | $65 - $181 | 199% |
| First Community Bank | $65 - $181 | 199% |
| Lakeland School System | $65 - $181 | 199% |
| Jas D Collier | $65 - $181 | 199% |
| Desoto Co Board of Supervisors | $65 - $181 | 199% |
| W G Yates | $65 - $181 | 199% |
| Vaughn Electric | $65 - $181 | 199% |
| Davidson Hospitality | $65 - $181 | 199% |
| Mid-South Transport | $65 - $181 | 199% |
| Heartland Catfish Company | $65 - $181 | 199% |
| Watkins Uiberall | $65 - $181 | 199% |
| Rei Nation | $65 - $181 | 199% |
| Crittenden County | $65 - $181 | 199% |
| Ritchey Automotive | $65 - $181 | 199% |
| Patterson Warehouses | $65 - $181 | 199% |
| Malco Theaters | $65 - $181 | 199% |
| Brimhall Foods | $65 - $181 | 199% |
| Cannon Motor Company | $65 - $181 | 199% |
| Radians | $65 - $181 | 199% |
| Y K Auto Group | $65 - $181 | 199% |
| Building Plastic | $65 - $181 | 199% |
| French Camp Academy | $65 - $181 | 199% |
| City of Lakeland | $65 - $181 | 199% |
| Armstrong Relocation | $65 - $181 | 199% |
| Retzer Resources | $65 - $181 | 199% |
| Hospitality Management Advisors | $65 - $181 | 199% |
| Mechanical Systems | $65 - $181 | 199% |
| United Tn Holdings | $65 - $181 | 199% |
| Delta Industries | $65 - $181 | 199% |
| City of Bartlett | $65 - $181 | 199% |
| Silver Tree | $65 - $181 | 199% |
| Ashley Furniture Stores | $65 - $181 | 199% |
| Eas Mssc Schools | $65 - $181 | 199% |
| Bartlett City Schools | $65 - $181 | 199% |
| Town of Collierville | $65 - $181 | 199% |
| Christian Health Aid | $67 - $187 | 205% |
| Advanced Health Systems Inc. | $67 - $187 | 205% |
| PPO Plus | $71 - $199 | 217% |
| Harding Academy | $72 - $201 | 220% |
| Employers Health Network | $72 - $201 | 220% |
| Multiplan | $76 - $211 | 232% |
| Qca | $76 - $211 | 232% |