CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Henry Ford Health Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $32
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Henry Ford Health Hospital is $32. 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 $32.73, this hospital’s rate is 0.98x the Medicare baseline. Located in 2799 W Grand Blvd, Detroit, MI.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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%)

Insurance Median: $32 (98%)

Ins. Median: $32 (98% 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.

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
Aetna	$17 - $70	52%
Hap	$17 - $64	52%
Mclaren	$17	52%
Meridian Health Plan Of Mi	$17	52%
Priority Health	$17 - $61	52%
Blue Cross Blue Shield	$19 - $52	58%
Molina	$19 - $56	58%
Amerihealth Michigan	$21 - $31	64%
Hap Caresource	$21	64%
Mclaren Health Plan Inc.	$21 - $32	64%
Meridian	$21 - $32	64%
Priority	$22 - $32	67%
Humana	$26 - $72	79%
Pace Se Mi	$30	92%
Bcn	$32 - $33	98%
Cca Health Mi	$32	98%
Health Alliance Plan Of Michigan	$32	98%
Mount Carmel Health Plan	$32	98%
United Behavioral Health, Inc.	$32	98%
UnitedHealthcare	$32 - $79	98%
Wellcare	$32	98%
Wellcare Ma	$32	98%
Molina Mi Health Link	$33	101%
Cofinity	$41	125%
Vitalcore Physicians Group Of Mi	$42 - $56	128%
Cigna	$46 - $75	141%
Mclaren Health	$67	205%
Ontario Ministry Of Health And Long-Term Care	$67	205%
Multiplan, Inc.	$74	226%
University Of Michigan	$89	272%
Cofinity Group Health	$96	293%

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 $X.
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 Henry Ford Health Hospital 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.