CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Trinity Health Oakland Hospital

Billing Code: 97110 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $24–$40
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
Above the fair price
about $15 over the fair price · 1.6× Medicare
Medicare pays $29 Fair price $30 This hospital $45 Cash price $143 Hospital's list price $220

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 $16 Priciest $45

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (therapeutic exercise) is about $30 (about 1.0× the $29 Medicare rate). Trinity Health Oakland Hospital charges insurers about $45, or about $143 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 $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 - $165 103%
Blue Cross Blue Shieldmajor $16 - $79 55%
Aetnamajor $28 - $166 96%
Cignamajor $163 561%
Humanamajor $161 554%
Kaiser Permanentemajor $79 272%
AmeriHealth $161 554%
CareSource $74 255%
Dean Health Plan $150 516%
GEHA $138 - $165 475%
Health Net $220 757%
HealthPartners $160 551%
MagnaCare $161 554%
Medical Mutual $138 475%
Molina $38 131%
MVP Health Care $150 516%
Paramount $150 516%
Priority Health $52 - $58 179%
Tufts Health Plan $160 551%
UniCare $161 554%
+ 136 smaller / regional plans $29 - $220
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals