CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Wyandotte Hospital and Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $29
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Wyandotte Hospital and Medical Center is $29. 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 $29.06, this hospital’s rate is 1.00x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)
Insurance Median: $29 (100%)
Ins. Median: $29 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.06 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 - $69 52%
Hap $15 - $50 52%
Mclaren $15 52%
Meridian Health Plan Of Mi $15 - $50 52%
Priority Health $15 - $51 52%
Molina $17 - $33 58%
Amerihealth Michigan $19 - $28 65%
Hap Caresource $19 65%
Mclaren Health Plan Inc. $19 - $29 65%
Meridian $19 - $29 65%
Priority $20 - $29 69%
UnitedHealthcare $21 - $69 72%
Humana $23 - $45 79%
Cofinity $25 86%
Pace Se Mi $27 93%
Blue Cross Blue Shield $28 - $45 96%
Bcn $29 100%
Cca Health Mi $29 100%
Health Alliance Plan Of Michigan $29 100%
Mount Carmel Health Plan $29 100%
United Behavioral Health, Inc. $29 100%
Wellcare $29 100%
Wellcare Ma $29 100%
Molina Mi Health Link $33 114%
Cca Health Michigan $37 127%
Vitalcore Physicians Group Of Mi $38 - $56 131%
Cofinity Group Health $41 - $61 141%
Cigna $44 - $75 151%
Mclaren Health $47 162%
Multiplan, Inc. $74 255%
University Of Michigan $89 306%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals