Memorial Hospital of South Bend — Physical therapy prices
← Hospital overviewVerified from Memorial Hospital of South Bend’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
10 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| PT 97110 THERAPY I - 15 MIN Inpatient | 97110 CPT | $133 | $86.45 | $26.60 – $109 | — | |
| PT 97110 THERAPY I - 15 MIN KX Inpatient | 97110 CPT | $133 | $86.45 | $26.60 – $109 | — | |
| PT 97110 THERAPY II - 15 MIN Inpatient | 97110 CPT | $133 | $86.45 | $26.60 – $109 | — | |
| PT 97110 THERAPY II - 15 MIN KX Inpatient | 97110 CPT | $133 | $86.45 | $26.60 – $109 | — | |
| PT 97112 NEUROMUSC RE-ED - 15 MIN KX Inpatient | 97112 CPT | $102 | $66.30 | $20.40 – $83.64 | — | |
| PT 97112 NEUROMUSCULAR RE-ED - 15 MIN Inpatient | 97112 CPT | $102 | $66.30 | $20.40 – $83.64 | — | |
| PT 97140 MANUAL THER-15 MIN KX Inpatient | 97140 CPT | $96.00 | $62.40 | $19.20 – $78.72 | — | |
| PT 97140 MANUAL THERAPY-15 MIN Inpatient | 97140 CPT | $96.00 | $62.40 | $19.20 – $78.72 | — | |
| PT 97161 THERAPY EVALUATION - 15 MIN/4 Inpatient | 97161 CPT | $261 | $170 | $52.20 – $214 | — | |
| PT 97162 THERAPY EVALUATION - 30 MIN/5 Inpatient | 97162 CPT | $288 | $187 | $57.60 – $236 | — |