CMS Price Transparency Data

Physical therapy (gait training)

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $21–$39
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
Above the fair price
about $14 over the fair price · 1.5× Medicare
Medicare pays $29 Fair price $30 This hospital $44 Cash price $96 Hospital's list price $148

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $14 Priciest $44

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 (gait training) is about $30 (about 1.0× the $29 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $44, or about $96 in cash — above the fair price. Located in Livonia, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $30. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $30 - $95 103%
Blue Cross Blue Shieldmajor $16 - $46 55%
Aetnamajor $28 - $118 96%
Cignamajor $93 - $118 320%
Humanamajor $94 323%
Kaiser Permanentemajor $46 158%
AmeriHealth $94 323%
CareSource $78 268%
Dean Health Plan $95 327%
GEHA $86 - $95 296%
Health Net $148 509%
HealthPartners $91 313%
MagnaCare $94 323%
Medical Mutual $94 323%
Molina $38 131%
MVP Health Care $95 327%
Paramount $95 327%
Priority Health $49 - $54 169%
Tufts Health Plan $91 313%
UniCare $94 323%
+ 135 smaller / regional plans $28 - $148
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 36475 Five Mile Road, Livonia, MI 48154
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals