CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Charlevoix Area Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$32
about 1.0× the $33 Medicare rate · typically $28–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $33 Fair price $32 This hospital $31 Cash price $69 Hospital's list price $81

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 $17 Priciest $31

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

A fair price for a Physical therapy (neuromuscular re-education) is about $32 (about 1.0× the $33 Medicare rate). Charlevoix Area Hospital charges insurers about $31, or about $69 in cash — about the fair price. Located in Charlevoix, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $22 - $70 67%
Blue Cross Blue Shieldmajor $22 - $75 67%
Aetnamajor $31 - $73 95%
Cignamajor $81 - $85 247%
Meridian $22 67%
Molina $31 - $41 95%
Priority Health $22 - $85 67%
+ 13 smaller / regional plans $22 - $77
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals