CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Munson Healthcare Grayling Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $36
  • Cash Discount Price: $99
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Munson Healthcare Grayling Hospital is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.10x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$99

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)
Cash / Self-Pay: $99 (302%)
Insurance Median: $36 (110%)
Cash: $99 (302% of Medicare)
Ins. Median: $36 (110% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 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.

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 $16 - $64 49%
Mclaren Health Plan $16 - $65 49%
Meridian $16 49%
Molina $16 - $34 49%
Priority Health $16 - $93 49%
UnitedHealthcare $16 - $70 49%
Aetna $28 - $89 86%
Cofinity $28 - $91 86%
Atrium King Centre Skilled Nursing Services $31 95%
Blue Care Network $31 95%
Hap (Health Alliance Plan) $31 - $94 95%
Humana $31 95%
Medicare (plans) $31 95%
Michigan Amish Medical Board $31 - $36 95%
Northern Michigan Mennonite Group $31 95%
Promedica $31 95%
Wellcare (Meridian) $31 95%
Wellspring Lutheran Services Skilling Nursing Services $31 95%
Provider Network Of America Group Health $44 - $99 134%
Asr/Physicians Care $47 - $94 144%
Nomi Health $50 - $94 153%
Employee Benefits Logistics $53 162%
Hospice Of Michigan $70 214%
Munson Hospice $82 - $852 251%
Cigna $85 - $93 260%
Medical Cost Savings Solution $94 287%
The Robbins Group And Regency Employee Benefits $94 287%
Wds Enterprise Group Planning $94 287%
First Health/Coventry Network $99 302%
Three Rivers Provider Network $99 302%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals