CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Munson Healthcare Grayling Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $37
Cash Discount Price: $94
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Munson Healthcare Grayling Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.10x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)

Cash / Self-Pay: $94 (279%)

Insurance Median: $37 (110%)

Cash: $94 (279% of Medicare)

Ins. Median: $37 (110% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$17 - $67	50%
Mclaren Health Plan	$17 - $61	50%
Meridian	$17	50%
Molina	$17 - $35	50%
Priority Health	$17 - $85	50%
UnitedHealthcare	$17 - $66	50%
Aetna	$28 - $83	83%
Cofinity	$28 - $86	83%
Atrium King Centre Skilled Nursing Services	$32	95%
Blue Care Network	$32	95%
Hap (Health Alliance Plan)	$32 - $88	95%
Humana	$32	95%
Medicare (plans)	$32	95%
Michigan Amish Medical Board	$32 - $37	95%
Northern Michigan Mennonite Group	$32	95%
Promedica	$32	95%
Wellcare (Meridian)	$32	95%
Wellspring Lutheran Services Skilling Nursing Services	$32	95%
Provider Network Of America Group Health	$45 - $94	133%
Asr/Physicians Care	$48 - $88	142%
Nomi Health	$51 - $88	151%
Cigna	$53 - $85	157%
Employee Benefits Logistics	$55	163%
Hospice Of Michigan	$66	196%
Munson Hospice	$77 - $852	228%
Medical Cost Savings Solution	$88	261%
The Robbins Group And Regency Employee Benefits	$88	261%
Wds Enterprise Group Planning	$88	261%
First Health/Coventry Network	$94	279%
Three Rivers Provider Network	$94	279%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $94.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Munson Healthcare Grayling Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97750.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.