CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Spectrum Health

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$52
about 1.6× the $33 Medicare rate · typically $34–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
About the fair price
about $3 over the fair price · 1.7× Medicare
Medicare pays $33 Fair price $52 This hospital $55 Cash price $75 Hospital's list price $75

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $17 Priciest $55

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (neuromuscular re-education) is about $52 (about 1.6× the $33 Medicare rate). Spectrum Health charges insurers about $55, or about $75 in cash — about the fair price. Located in Grand Rapids, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $31 95%
Aetnamajor $33 101%
Meridian $57 174%
Priority Health $31 - $124 95%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 100 Michigan St Ne, Grand Rapids, MI 49503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals