CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 0.9× the $33 Medicare rate · typically $22–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
about $3 over the fair price · 1.0× Medicare
Medicare pays $33 Fair price $29 This hospital $32 Hospital's list price $112

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 $17 Priciest $32

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 $29 (about 0.9× the $33 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $32 — about the fair price. Located in Livonia, MI.

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 $21 - $112 64%
Blue Cross Blue Shieldmajor $18 - $70 55%
Aetnamajor $21 - $140 64%
Cignamajor $21 - $140 64%
Humanamajor $21 - $111 64%
Kaiser Permanentemajor $54 165%
Ambetter (Centene) $21 64%
AmeriHealth $28 - $111 86%
CareSource $91 278%
Clover Health $27 - $32 82%
Dean Health Plan $37 - $112 113%
GEHA $102 - $112 312%
Health Net $21 - $175 64%
HealthPartners $21 - $107 64%
MagnaCare $28 - $111 86%
Medical Mutual $28 - $111 86%
Meridian $21 - $32 64%
Molina $21 - $44 64%
MVP Health Care $37 - $112 113%
Paramount $21 - $112 64%
Presbyterian $21 - $32 64%
Priority Health $60 - $75 183%
Tufts Health Plan $21 - $107 64%
UniCare $28 - $111 86%
WellMed $27 - $32 82%
WellSense $21 64%
+ 430 smaller / regional plans $21 - $175
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 18 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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