CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Trinity Health Oakland Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 1.0× the $33 Medicare rate · typically $28–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
Above the fair price
about $17 over the fair price · 1.5× Medicare
Medicare pays $33 Fair price $33 This hospital $50 Cash price $114 Hospital's list price $175

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 $50

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 $33 (about 1.0× the $33 Medicare rate). Trinity Health Oakland Hospital charges insurers about $50, or about $114 in cash — 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 $33. 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 $34 - $131 104%
Blue Cross Blue Shieldmajor $18 - $63 55%
Aetnamajor $32 - $132 98%
Cignamajor $130 397%
Humanamajor $128 391%
Kaiser Permanentemajor $63 192%
AmeriHealth $128 391%
CareSource $77 235%
Dean Health Plan $119 364%
GEHA $110 - $131 336%
Health Net $175 535%
HealthPartners $127 388%
MagnaCare $128 391%
Medical Mutual $110 336%
Molina $42 128%
MVP Health Care $119 364%
Paramount $119 364%
Priority Health $57 - $63 174%
Tufts Health Plan $127 388%
UniCare $128 391%
+ 136 smaller / regional plans $33 - $175
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