CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $50
Cash Discount Price: $100
vs. Medicare Baseline: 1.53x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Munson Healthcare Manistee Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.53x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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: $100 (306%)

Insurance Median: $50 (153%)

Cash: $100 (306% of Medicare)

Ins. Median: $50 (153% 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.

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	$16 - $59	49%
Mclaren Health Plan	$16 - $88	49%
Meridian	$16	49%
Molina	$16 - $34	49%
Priority Health	$16 - $93	49%
UnitedHealthcare	$16 - $106	49%
Aetna	$28 - $102	86%
Cofinity	$28 - $104	86%
Hap (Health Alliance Plan)	$31 - $94	95%
Humana	$31	95%
Medicare (plans)	$31	95%
Michigan Amish Medical Board	$31	95%
Northern Michigan Mennonite Group	$31	95%
Prime Health Services	$31 - $109	95%
Wellcare Meridian	$31	95%
Provider Network Of America	$44 - $100	134%
Asr/Physicians Care	$47 - $94	144%
Nomi Health	$50 - $94	153%
Employee Benefits Logistics	$53	162%
Hospice Of Michigan	$71	217%
Munson Hospice	$83 - $852	254%
Cigna	$85 - $93	260%
Enterprise Group Planning/Employee Benefits Plan	$94	287%
Medical Cost Savings Solution	$94	287%
Three Rivers Provider Network	$100	306%
Multiplan	$104	318%
Great West Healthcare	$106	324%

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 $100.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Munson Healthcare Manistee Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
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.