CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Henry Ford Macomb Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$32
about 0.9× the $34 Medicare rate · typically $28–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $34 Fair price $32 This hospital $33 Hospital's list price $100

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 $33

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 (functional capacity test) is about $32 (about 0.9× the $34 Medicare rate). Henry Ford Macomb Hospital charges insurers about $33 — about the fair price. Located in Clinton Township, MI.

What each insurance company pays

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

5 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 $22 - $33 65%
Blue Cross Blue Shieldmajor $18 - $53 53%
Aetnamajor $18 - $33 53%
Cignamajor $46 136%
Humanamajor $27 - $44 80%
AmeriHealth $33 98%
Meridian $18 - $33 53%
Molina $19 - $37 56%
Priority Health $18 - $66 53%
WellCare $33 - $34 98%
+ 9 smaller / regional plans $18 - $49

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Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals