CPT 97112 Physical Therapy
Neuromuscular re-education, each 15 minutes Cost
Body System: Nervous
Medicare Facility Rate
$21
CMS PFS CY2026
Medicare Non-Facility Rate
$32
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.45
Work RVU
0.18
Facility PE RVU
0.01
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $42 | $55 — $84 |
| AL — ALABAMA | $31 | $40 — $62 |
| AR — ARKANSAS | $31 | $40 — $61 |
| AZ — ARIZONA | $32 | $42 — $65 |
| CA — BAKERSFIELD | $35 | $45 — $69 |
| CA — CHICO | $35 | $45 — $69 |
| CA — EL CENTRO | $35 | $45 — $69 |
| CA — FRESNO | $35 | $45 — $69 |
| CA — HANFORD-CORCORAN | $35 | $45 — $69 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $36 | $47 — $73 |
| CA — MADERA | $35 | $45 — $69 |
| CA — MERCED | $35 | $45 — $69 |
| CA — MODESTO | $35 | $45 — $69 |
| CA — NAPA | $39 | $50 — $78 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $36 | $47 — $72 |
| CA — REDDING | $35 | $45 — $69 |
| CA — REST OF CALIFORNIA | $35 | $45 — $69 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $35 | $45 — $69 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $36 | $47 — $72 |
| CA — SALINAS | $36 | $47 — $72 |
Frequently Asked Questions
How much does Neuromuscular re-education, each 15 minutes cost?
The Medicare facility rate is $21. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Neuromuscular re-education, each 15 minutes cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $21.