CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Merit Health Natchez

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $46
  • Cash Discount Price: $134
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Merit Health Natchez is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.41x the Medicare baseline. Located in 52 Sergeant Prentiss Drive, Natchez, MS.
Cash / Self-Pay
$134

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $134 (409%)
Insurance Median: $46 (141%)
Cash: $134 (409% of Medicare)
Ins. Median: $46 (141% 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
Medpartners $22 67%
Caresource Truecare $27 82%
Magnolia Mcd Chip $27 82%
Medicaid / KanCare $27 - $68 82%
UnitedHealthcare $27 - $188 82%
Tricare $28 86%
Molina Chip $29 89%
First Choice $30 - $313 92%
Medicare (plans) $30 92%
Node Champva $30 92%
Node First Choice Ice $30 92%
Node Hospice Non Par Agree $30 92%
Node Magnolia Mcr Adv $30 92%
Node Va $30 92%
Node Vantage Mcr Adv $30 92%
Veterans Eval Services $30 92%
Aetna $31 - $252 95%
Node Devoted Health Mcr Adv $31 95%
Node Dignity Care Mcr Adv $31 95%
Node First Choice American Health Of Ms Mcr Adv $31 95%
Node First Choice Wellcare Mcr Adv $31 95%
Node Molina $31 95%
Node Peoples Health Mcr Adv $31 95%
Advanced Health Systems $34 104%
Node Healthy Mississippi Mcr Adv $34 104%
Blue Cross Blue Shield $41 125%
Node Us Dept Of Labor $48 147%
Magnolia Exchange $53 162%
Prime Health Wc $53 162%
Work Comp $55 168%
Molina Exchange $57 174%
Humana $68 208%
Vantage Commercial $69 211%
Vantage Ppaca Tiered $70 214%
Self Pay $80 - $188 244%
Cigna $110 336%
Trimed Billing Solutions $134 409%
Prime Health Services $357 1091%
Ms Dept Of Rehabilitation Services $447 1366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 52 Sergeant Prentiss Drive, Natchez, MS 39120
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals