CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Ascension River District Hospital

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$32
about 1.0× the $33 Medicare rate · typically $29–$40
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
1.0× Medicare
Medicare pays $33 Fair price $32 This hospital $32 Cash price $53 Hospital's list price $95

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 $17 Priciest $32

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 (neuromuscular re-education) is about $32 (about 1.0× the $33 Medicare rate). Ascension River District Hospital charges insurers about $32, or about $53 in cash — about the fair price. Located in East China, MI.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor $31 95%
Humanamajor $31 95%
Ambetter (Centene) $38 116%
AmeriHealth $30 92%
Molina $32 - $38 98%
WellCare $32 98%
+ 8 smaller / regional plans $31 - $58
Government programs also on file: Medicare, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4100 River Rd, East China, MI 48054
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals