CMS Price Transparency Data

Physical therapy (gait training)

Facility: Trinity Health Livingston Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 1.1× the $29 Medicare rate · typically $24–$44
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
Above the fair price
about $10 over the fair price · 1.5× Medicare
Medicare pays $29 Fair price $33 This hospital $43 Cash price $96 Hospital's list price $148

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 $43

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 $33 (about 1.1× the $29 Medicare rate). Trinity Health Livingston Hospital charges insurers about $43, or about $96 in cash — above the fair price. Located in Howell, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $33. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $29 - $133 100%
Blue Cross Blue Shieldmajor $15 - $53 52%
Aetnamajor $27 - $121 93%
Cignamajor $115 396%
Humanamajor $121 416%
Kaiser Permanentemajor $53 182%
AmeriHealth $121 416%
CareSource $72 248%
Dean Health Plan $114 392%
GEHA $99 - $108 341%
HealthPartners $115 396%
MagnaCare $121 416%
Medical Mutual $121 416%
Molina $36 124%
MVP Health Care $114 392%
Paramount $114 392%
Priority Health $51 - $57 175%
Tufts Health Plan $115 396%
UniCare $121 416%
+ 132 smaller / regional plans $27 - $148
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 620 Byron Rd, Howell, MI 48843
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals