CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Henry Ford Health Warren Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $29
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Henry Ford Health Warren Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.00x the Medicare baseline. Located in 11800 East Twelve Mile Road, Warren, MI.
Cash / Self-Pay
$41

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%)
Cash / Self-Pay: $41 (141%)
Insurance Median: $29 (100%)
Cash: $41 (141% of Medicare)
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
Medicare (plans) $26 - $29 89%
Amerihealth Vip Care $27 93%
Aetna $28 96%
Harbor Advantage Hmo $28 96%
Humana $28 96%
Total Health Care $28 96%
Tricare $28 96%
Veterans Choice $28 96%
Meridian Wellcare $29 100%
Molina Advantage $29 100%
Molina Health Link $29 100%
Phcs Pos $31 107%
Phcs Ppo $31 107%
Ahlic $35 120%
Ambetter / Centene $35 120%
Hap Hmo $35 120%
Hap Preferred $35 120%
Molina Market Place $35 120%
Blue Cross Blue Shield $38 131%
Ppom $38 131%
Smarthealth $39 134%
Aaa-Auto Insurance $52 179%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11800 East Twelve Mile Road, Warren, MI 48093
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals