Physical therapy (neuromuscular re-education)
Facility: University Medical Center
Billing Code: 97112 (CPT)
- CPT Billing Code: 97112
- Insurance Median: $145
- Cash Discount Price: $116
- vs. Medicare Baseline: 4.43x 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 443% of the Medicare baseline (a markup of 343%). 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 |
|---|---|---|
| Cement Masons & Plasters H&W | $22 - $147 | 67% |
| Aig | $22 - $163 | 67% |
| Beech Street | $22 - $163 | 67% |
| Kaiser | $28 - $93 | 86% |
| National Security Technologies | $28 - $93 | 86% |
| Cirque De Soleil | $28 - $93 | 86% |
| Great West Healthcare | $28 - $93 | 86% |
| Cigna | $28 - $93 | 86% |
| City of North Las Vegas | $28 - $147 | 86% |
| American Postal Workers Health Plan | $29 - $323 | 89% |
| Surest | $29 - $323 | 89% |
| Ambetter / Centene | $29 - $205 | 89% |
| Molina | $29 - $205 | 89% |
| Blue Cross Blue Shield | $29 - $93 | 89% |
| Las Vegas Firefighters 1285 | $29 - $147 | 89% |
| UnitedHealthcare | $29 - $323 | 89% |
| Switch | $29 - $147 | 89% |
| Sierra Health and Life | $29 - $224 | 89% |
| Laborers Health and Welfare | $39 - $147 | 119% |
| Plumbers & Pipefitters Loc 525 | $39 - $147 | 119% |
| Bricklayers Local 13 | $39 - $147 | 119% |
| Teamsters Local 986 | $39 - $147 | 119% |
| Caesar's Entertainment | $39 - $147 | 119% |
| Teamsters Local 14 | $39 - $147 | 119% |
| So Ca Pipe Trades H&W | $39 - $93 | 119% |
| Ufcw Local 711 Retail Clerks | $39 - $147 | 119% |
| Operating Engineers | $39 - $147 | 119% |
| Electrical Workers | $39 - $147 | 119% |
| California Ironwork Field Welfare | $39 - $93 | 119% |
| Teamsters Local 631 | $39 - $147 | 119% |
| Southwest Carpenters H&W | $39 - $93 | 119% |
| Boyd Group | $39 - $147 | 119% |
| Sheet Metal Workers | $39 - $93 | 119% |
| Aetna | $52 - $168 | 159% |
| Coventry | $57 | 174% |
| Mail Handlers Benefit Plan | $57 | 174% |
| Nevada Energy | $57 | 174% |
| Health Net | $67 - $317 | 205% |
| Three Rivers Provider Network | $67 | 205% |
| First Health | $67 | 205% |
| Advantra Freedom | $93 | 284% |
| Clark County Detention Center | $112 | 342% |
| Alignment Health | $112 | 342% |
| Scan | $112 | 342% |
| Laughlin Coalition | $145 | 443% |
| Mgm Grand | $147 | 449% |
| Mirage Las Vegas | $147 | 449% |
| Culinary Workers Hwf | $147 | 449% |
| Las Vegas Metro Police Dept | $147 | 449% |
| Employee Painters Trust | $147 | 449% |
| City of Henderson | $147 | 449% |
| Clark County Self Funded | $147 | 449% |
| Wynn Resorts | $147 | 449% |
| Resorts World Las Vegas | $147 | 449% |
| Clark County Firefighters 1908 | $147 | 449% |
| Nevada Hand | $147 | 449% |
| Clark County EPO | $147 | 449% |
| State of Nevada | $153 | 467% |
| Golden Nugget Hotel & Casino | $153 | 467% |
| Stations Casinos | $153 | 467% |
| Rebel Oil Company | $153 | 467% |
| P3 Health Partners | $153 | 467% |
| Marshall Retail Group | $153 | 467% |
| Teacher's Health Trust | $153 | 467% |
| Arroweye Solutions | $153 | 467% |
| Golden Entertainment | $153 | 467% |
| Venetian/Palazzo | $153 | 467% |
| Truline Corporation | $153 | 467% |
| Pli Las Vegas | $153 | 467% |
| Dignity Health | $153 | 467% |
| Health Direct Partners | $205 | 626% |
| Selecthealth | $205 | 626% |
| Nevada Preferred Professionals | $224 | 684% |
| Zuffa | $224 | 684% |
| Jw Marriott | $224 | 684% |
| Prominence Health Plan | $224 | 684% |
| Universal Health Network (Uhn) | $224 | 684% |
| One Health Plan | $243 | 742% |
| Hometown Health Plan of Nevada | $243 | 742% |
| Las Vegas Sand Corps | $323 | 987% |
| VA Pc3 (VA Choice) | $336 | 1027% |