CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Mercy Health Saint Mary's

Billing Code: 97110 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$40
about 1.4× the $29 Medicare rate · typically $29–$78
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $12 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $40 This hospital $28 Cash price $85 Hospital's list price $130

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 0 charge more and 4 charge less, among the 9 MI hospitals compared.

Cheapest $16 Priciest $28

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (therapeutic exercise) is about $40 (about 1.4× the $29 Medicare rate). Mercy Health Saint Mary's charges insurers about $28, or about $85 in cash — below the fair price — a good deal. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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
UnitedHealthcaremajor $29 - $157 100%
Blue Cross Blue Shieldmajor $15 - $76 52%
Aetnamajor $27 - $124 93%
Cignamajor $75 - $115 258%
Humanamajor $78 - $157 268%
Kaiser Permanentemajor $50 - $76 172%
AmeriHealth $78 - $119 268%
CareSource $67 - $103 231%
Dean Health Plan $75 - $115 258%
GEHA $65 - $119 224%
Medical Mutual $65 - $99 224%
Molina $36 124%
MVP Health Care $75 - $115 258%
Oscar Health $36 124%
Paramount $75 - $115 258%
Priority Health $70 - $71 241%
UniCare $78 - $119 268%
+ 144 smaller / regional plans $20 - $157
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals