CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Garden City Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $29
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Garden City Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.00x the Medicare baseline. Located in 6245 Inkster Rd, Garden City, MI.
Cash / Self-Pay
$28

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: $28 (96%)
Insurance Median: $29 (100%)
Cash: $28 (96% 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
Aetna $15 - $29 52%
Beacon Health Strategies $15 52%
Harbor Health Plan $15 - $29 52%
Mclaren Health Plan $15 - $29 52%
Medicaid / KanCare $15 - $17 52%
Priority Health $15 52%
Total Health Care Priority Health $15 - $29 52%
Blue Cross Blue Shield $29 - $46 100%
Honest Hmo $29 100%
Humana $29 100%
Medicare (plans) $29 100%
Sunrise $29 100%
Tricare $29 100%
UnitedHealthcare $29 100%
Zing $30 103%
Longevity Hp $31 107%
Employer Direct Healthcare $40 138%
Naphcare Residential Inmate Treatment Center $45 155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6245 Inkster Rd, Garden City, MI 48135
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals