CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Saint Michael's Medical Center

Billing Code: 97110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$63
about 2.2× the $29 Medicare rate · typically $32–$189
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
Below the fair price — a good deal
about $15 under the fair price · 1.7× Medicare
Medicare pays $29 Fair price $63 This hospital $48 Cash price $32 Hospital's list price $217

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $15 Priciest $48

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (therapeutic exercise) is about $63 (about 2.2× the $29 Medicare rate). Saint Michael's Medical Center charges insurers about $48, or about $32 in cash — below the fair price — a good deal. Located in Newark, NJ.

What each insurance company pays

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

5 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 $32 - $275 110%
Blue Cross Blue Shieldmajor $32 110%
Aetnamajor $32 - $68 110%
Cignamajor $158 544%
Humanamajor $32 110%
AmeriHealth $32 110%
Clover Health $34 117%
WellCare $33 - $44 114%
+ 5 smaller / regional plans $32 - $65
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 111 Central Avenue, Newark, NJ 07102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals