CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $45
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Munson Healthcare Manistee Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.55x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)
Cash / Self-Pay: $104 (358%)
Insurance Median: $45 (155%)
Cash: $104 (358% of Medicare)
Ins. Median: $45 (155% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.06 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 $15 - $61 52%
Mclaren Health Plan $15 - $92 52%
Meridian $15 52%
Molina $15 - $30 52%
Priority Health $15 - $93 52%
UnitedHealthcare $15 - $110 52%
Aetna $25 - $105 86%
Cofinity $25 - $107 86%
Hap (Health Alliance Plan) $28 - $98 96%
Humana $28 96%
Medicare (plans) $28 96%
Michigan Amish Medical Board $28 96%
Northern Michigan Mennonite Group $28 96%
Prime Health Services $28 - $112 96%
Wellcare Meridian $28 96%
Provider Network Of America $39 - $104 134%
Asr/Physicians Care $42 - $98 145%
Nomi Health $45 - $98 155%
Employee Benefits Logistics $47 162%
Hospice Of Michigan $73 251%
Cigna $85 - $93 292%
Munson Hospice $85 - $852 292%
Enterprise Group Planning/Employee Benefits Plan $98 337%
Medical Cost Savings Solution $98 337%
Three Rivers Provider Network $104 358%
Multiplan $107 368%
Great West Healthcare $110 379%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals