CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $34
  • Cash Discount Price: $119
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Munson Healthcare Cadillac Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.23x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$119

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)
Cash / Self-Pay: $119 (429%)
Insurance Median: $34 (123%)
Cash: $119 (429% of Medicare)
Ins. Median: $34 (123% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 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 $14 - $48 51%
Mclaren Health Plan $14 - $88 51%
Meridian $14 51%
Molina $14 - $29 51%
Priority Health $14 - $85 51%
UnitedHealthcare $14 - $87 51%
Aetna $23 - $106 83%
Cofinity $23 - $109 83%
American Health Associates $27 97%
Autumnwood Of Mcbain Skilled Nursing $27 97%
Blue Care Network $27 97%
Hap (Health Alliance Plan) $27 - $112 97%
Humana $27 97%
Medicare (plans) $27 97%
Michigan Amish Medical Board $27 97%
Promedica $27 97%
Samaritas Senior Living Skilled Nursing $27 97%
Wellcare (Meridian) $27 97%
Cigna $35 - $85 126%
Provider Network Of America Group Health $37 - $119 133%
Asr/Physicians Care $40 - $112 144%
Employee Benefits Logistics $45 162%
Hospice Of Michigan $84 303%
Munson Hospice $98 - $852 354%
Enterprise Group Planning/Employee Benefit Plan $112 404%
Medical Cost Savings Solution $112 404%
Nomi Health $112 404%
Robbing Group And Regency Employee Benefits $112 404%
First Health/Coventry Network $119 429%
Three Rivers Provider Network $119 429%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals