CMS Price Transparency Data

Physical therapy (gait training)

Facility: Trinity Health Oakland Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 1.0× the $29 Medicare rate · typically $22–$40
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
Well above the fair price
about $37 over the fair price · 2.3× Medicare
Medicare pays $29 Fair price $29 This hospital $66 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 $66

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 $29 (about 1.0× the $29 Medicare rate). Trinity Health Oakland Hospital charges insurers about $66 — well above the fair price. Located in Pontiac, 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 $29. 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 - $13,176 103%
Blue Cross Blue Shieldmajor $16 - $12,537 55%
Aetnamajor $28 - $12,537 96%
Cignamajor $110 379%
Humanamajor $109 375%
Kaiser Permanentemajor $53 182%
AmeriHealth $109 375%
CareSource $66 - $132 227%
Dean Health Plan $101 348%
GEHA $93 - $111 320%
Health Net $148 509%
HealthPartners $108 372%
MagnaCare $109 375%
Medical Mutual $93 320%
Molina $38 - $16,630 131%
MVP Health Care $101 348%
Paramount $101 348%
Priority Health $46 - $102 158%
Tufts Health Plan $108 372%
UniCare $109 375%
+ 136 smaller / regional plans $29 - $29,514
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: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals