CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Grand Strand Regional Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $33
  • Cash Discount Price: $432
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Grand Strand Regional Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $432. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.01x the Medicare baseline. Located in 809 82Nd Parkway, Myrtle Beach, SC.
Cash / Self-Pay
$432

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $432 (1320%)
Insurance Median: $33 (101%)
Cash: $432 (1320% of Medicare)
Ins. Median: $33 (101% 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 Choice $15 46%
United $15 - $194 46%
Absolute Total Care $28 - $78 86%
Aetna $28 - $32 86%
Blue Cross Blue Shield $28 - $410 86%
Devoted Health $28 - $31 86%
Humana $28 - $367 86%
Molina $28 - $78 86%
United Behavioral Health $28 - $31 86%
Wellcare $28 - $32 86%
Boldage Pace $29 - $32 89%
Clover $29 - $33 89%
Eon Health $29 - $33 89%
Cigna $30 - $140 92%
Health Team Advantage $30 - $35 92%
Universal Healthcare Group $33 - $38 101%
Corvel Corporation $38 - $43 116%
Employer'S Health Network $38 - $43 116%
Prime Health $38 - $367 116%
Heritage Summit $41 - $46 125%
Sc State Employees $56 171%
Blue Choice Health Plan $76 232%
Nhc Advantage $82 251%
Pruitt Health $82 251%
Select Health $186 568%
Medcost $216 - $295 660%
Occunet $216 660%
Vocational Rehab $233 712%
Employers Health Network $238 727%
Evernorth $346 1057%
First Health $356 1088%
Global Excel Management $359 1097%
Multiplan $367 1121%
National Choicecare $367 1121%
Novanet $389 1189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 809 82Nd Parkway, Myrtle Beach, SC 29572
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals