CMS Price Transparency Data

Physical therapy (gait training)

Facility: University of Michigan Health System

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$75
about 2.6× the $29 Medicare rate · typically $20–$88
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
About the fair price
about $10 over the fair price · 2.9× Medicare
Medicare pays $29 Fair price $75 This hospital $85 Cash price $74 Hospital's list price $186

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 $85

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 $75 (about 2.6× the $29 Medicare rate). University of Michigan Health System charges insurers about $85, or about $74 in cash — about the fair price. Located in Ann Arbor, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $97 - $136 334%
Blue Cross Blue Shieldmajor $85 292%
Aetnamajor $107 - $131 368%
Health Net $130 447%
Paramount $154 530%
Priority Health $86 - $198 296%
+ 11 smaller / regional plans $80 - $158
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals