CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Henry Ford Allegiance Health

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $30
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Henry Ford Allegiance Health is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 0.92x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $44 (134%)
Insurance Median: $30 (92%)
Cash: $44 (134% of Medicare)
Ins. Median: $30 (92% 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 - $62 49%
Hap Caresource $16 - $21 49%
Mclaren $16 49%
Meridian Health Plan Of Mi $16 - $47 49%
Priority Health $16 - $61 49%
Aetna $17 - $100 52%
Molina $18 - $30 55%
Mclaren Health Plan Inc. $21 - $30 64%
Meridian $21 64%
Priority $22 - $30 67%
Hap $26 - $95 79%
Humana $26 - $34 79%
Bcn $30 - $41 92%
Cca Health Mi $30 92%
Health Alliance Plan Of Michigan $30 92%
Thomas Pace $30 92%
United Behavioral Health, Inc. $32 98%
Vaccn $32 98%
Vitalcore Physicians Group Of Mi $39 - $77 119%
Cofinity $41 125%
Cigna $46 - $137 141%
Molina Mi Health Link $46 141%
Mclaren Health $77 235%
Jackson County Offiice Of The Sheriff $80 244%
Immergrun Inc $92 281%
UnitedHealthcare $114 348%
University Of Michigan $120 367%
Cofinity Group Health $139 425%
Frontpath $139 425%
Multiplan, Inc. $139 425%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 205 N East Ave, Jackson, MI 49201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals