CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: University of Michigan Health System

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $147
Cash Discount Price: $84
vs. Medicare Baseline: 4.49x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at University of Michigan Health System is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 4.49x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.

Cash / Self-Pay

$84

Average discount available for prompt cash payment at this facility.

Insurance Median

$147

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)

Cash / Self-Pay: $84 (257%)

Insurance Median: $147 (449%)

Cash: $84 (257% of Medicare)

Ins. Median: $147 (449% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 449% of the Medicare baseline (a markup of 349%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Point Comfort Underwriters Unaccompanied Children Program	$90	275%
Blue Care Network Of Michigan	$94	287%
Blue Cross Blue Shield	$94	287%
Priority Health [1038]	$97 - $137	296%
Metrocare	$99	302%
Medicaid / KanCare	$105	321%
UnitedHealthcare	$109 - $153	333%
Hap [1023]	$115 - $158	351%
Aetna	$121 - $147	370%
Confinity Advantage	$121	370%
Plain Church Group	$126	385%
Beaumont Health Network	$147	449%
Mclaren Health Plan Inc	$147	449%
Nomi Health	$147	449%
Provider Network Of America	$147	449%
First Agency	$158	483%
Parkview Health Plan Services	$158	483%
Cofinity	$160	489%
Paramount Health Care	$174	532%
Bronson Healthcare Group	$178	544%
First Health	$178	544%
Multiplan	$178	544%
Priority Health	$223	681%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $84.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Michigan Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.