CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Henry Ford Macomb Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $27
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Henry Ford Macomb Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 0.97x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)
Insurance Median: $27 (97%)
Ins. Median: $27 (97% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $15 - $70 54%
Blue Cross Blue Shield $15 - $42 54%
Hap $15 - $46 54%
Mclaren $15 54%
Meridian Health Plan Of Mi $15 54%
Priority Health $15 - $44 54%
Molina $16 - $33 58%
Amerihealth Michigan $18 - $27 65%
Hap Caresource $18 65%
Mclaren Health Plan Inc. $18 - $27 65%
Meridian $18 - $27 65%
Priority $19 - $27 69%
UnitedHealthcare $20 - $56 72%
Humana $21 - $36 76%
Pace Se Mi $26 94%
Bcn $27 97%
Cca Health Mi $27 97%
Health Alliance Plan Of Michigan $27 97%
Mount Carmel Health Plan $27 97%
United Behavioral Health, Inc. $27 97%
Wellcare Ma $27 97%
Wellcare $28 101%
Molina Mi Health Link $33 119%
Vitalcore Physicians Group Of Mi $35 - $56 126%
Cigna $41 - $89 148%
Cofinity Group Health $41 - $82 148%
Mclaren Health $58 209%
Multiplan, Inc. $73 263%
University Of Michigan $89 321%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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