What is Neuromuscular Re-education (CPT 97112)?

Balance, coordination, and posture training to restore nerve-to-muscle communication. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

What do doctors typically charge for Neuromuscular Re-education?

The nationwide median physician charge for Neuromuscular Re-education (CPT 97112) is $65.94. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 97112?

The standard insurance baseline reimbursement rate is $27.79. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Neuromuscular Re-education

CPT 97112Physical Therapy

Neuromuscular Re-education

Balance, coordination, and posture training to restore nerve-to-muscle communication. Clinical pricing breakdown and utilization metrics across 61,940 practicing doctors nationwide.

$65.94

Peer Median Charge

Gross billed rate

$27.79

Standard Baseline

Customary allowable

2.4x

National Markup

Charge vs baseline

61,940

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $65.94. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $27.79 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 97112 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"