How Much Does Neuromuscular Re-education Cost?
Also known as: Neuromuscular reeducation (CPT 97112)
A physical therapy session focused on neuromuscular re-education to improve movement patterns, balance, and coordination.
Neuromuscular Re-education (CPT 97112) costs $33 at Medicare rates.
Patient Guide: Neuromuscular Re-education
What you need to know before your appointment
What to Expect
The physical therapist will guide you through exercises that retrain your muscles and nervous system to work together properly. This may include balance training, posture correction, and movement pattern retraining.
How Long Does It Take?
15 minutes per unit (typically 1-2 units)
Common Reasons Doctors Order This
Balance problems, stroke recovery, post-surgical movement retraining, poor posture, coordination difficulties, fall prevention
How to Prepare
Wear comfortable clothing and stable shoes. Be prepared for exercises that challenge your balance (in a safe, supervised environment).
Procedures Commonly Done Together
These procedures are frequently performed alongside Neuromuscular reeducation
What Insurance Companies Actually Pay
Real negotiated rates from 9 hospitals across 5 states (from hospital price transparency filings)
| Insurance Company | Avg Rate | Range | Hospitals |
|---|---|---|---|
| Aetna | $143 | $30 - $213 | 8 |
| United | $188 | $30 - $480 | 9 |
| BCBS | $83 | $29 - $115 | 2 |
| Humana | $146 | $29 - $335 | 6 |
| Cigna | $174 | $100 - $255 | 5 |
| Bright Health | $38 | $30 - $107 | 2 |
| Cigna HealthSpring | $31 | $29 - $34 | 4 |
| WellCare | $32 | $30 - $35 | 4 |
| Superior Health Plan | $32 | $30 - $35 | 2 |
| BCBS-TX | $85 | $52 - $113 | 2 |
| Provider Partners Health Plan of Texas | $33 | $31 - $35 | 2 |
| Kaiser | $76 | $30 - $126 | 2 |
How to Reduce Your Cost for Neuromuscular reeducation
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (0.98) x CF ($33.40) = $33
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Neuromuscular reeducation cost?
The Medicare facility rate for Neuromuscular reeducation is $33. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Neuromuscular reeducation cost without insurance?
Without insurance, the cost of Neuromuscular reeducation can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Neuromuscular reeducation?
Most commercial health insurance plans and Medicare cover Neuromuscular reeducation when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.