Re-evaluation for Physical Therapy, Typically 20 Minutes Cost in Michigan

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 62 Michigan hospitals. CPT 97164. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $120 📉 Low $31.50 📈 High $356 🏥 62 hospitals 🏛️ 31 with insurance contracts 🇺🇸 Medicare $65.47

Hospital comparison — Michigan

Sorted by cash price (lowest first). Showing top 60 of 62 hospitals.

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HospitalCashAetnaBCBSHumanaMedicareUHCMolinaCignaMultiPlan
SPARROW CLINTON HOSPITAL
ST. JOHNS
$31.50 ————————
UM HEALTH-SPARROW IONIA HOSPITAL
IONIA
$31.50 ————————
SPARROW EATON HOSPITAL
CHARLOTTE
$37.75 ————————
HENRY FORD ROCHESTER HOSPITAL
W. UNIVERSITY DR ROCHESTER
$46.06 $54.99$64.52$64.52$64.52————
COVENANT HEALTHCARE MICHIGAN
SAGINAW
$48.30 $64.46$33.71$51.75——$33.71$98.45$62.10
COVENANT MEDICAL CENTER COOPER
COOPER SAGINAW
$48.30 $64.46$33.71$51.75——$33.71$98.45$62.10
UM HEALTH-SPARROW CARSON
CARSON CITY
$56.75 ————————
HENRY FORD WARREN HOSPITAL
TWELVE MILE RD WARREN
$61.04 $64.52$72.88$65.17$61.29—$67.75——
LAKE HURON MEDICAL CENTER
PORT HURON
$64.00 $34.39$64.46—$64.46————
GARDEN CITY HOSPITAL
GARDEN CITY
$66.00 $34.76$66.47$66.47$66.47$66.47———
HURLEY MEDICAL CENTER MAIN CAMPUS
HURLEY PLAZA FLINT
$69.25 ————————
TRINITY HEALTH ANN ARBOR HOSPITAL
YPSILANTI
$75.00 ————————
SURGEONS CHOICE MEDICAL CENTER
SOUTHFIELD
$76.00 ————————
HENRY FORD ST. JOHN CHILDREN'S HOSPITAL
MOROSS RD DETROIT
$77.84 $64.52—$65.17$61.29—$67.75——
HENRY FORD RIVER DISTRICT HOSPITAL
RIVER RD EAST CHINA TOWNSHIP
$78.40 $64.52—$65.17$61.29—$67.75——
HENRY FORD PROVIDENCE SOUTHFIELD HOSPITAL
W NINE MILE RD SOUTHFIELD
$91.28 $52.49$77.94$65.17—$37.42$37.42——
HENRY FORD PROVIDENCE NOVI HOSPITAL
GRAND RIVER AVE NOVI
$91.28 $52.49$77.88$65.17—$37.42$37.42——
INSIGHT HOSPITAL & MEDICAL CENTER COLDWATER
COLDWATER
$94.40 $82.60$82.60$82.60$82.60$82.60——$82.60
UM HEALTH-WEST HOSPITAL
WYOMING
$97.10 ————————
SCHEURER HOSPITAL
PIGEON
$97.35 ————————
UM HEALTH-SPARROW - ST LAWRENCE
LANSING
$98.25 ————————
UM HEALTH-SPARROW LANSING
LANSING
$98.25 ————————
BEACON ALLEGAN
LINN ST ALLEGAN
$104 $27.66—$62.23$62.23$27.66———
HARBOR BEACH COMMUNITY HOSPITAL
HARBOR BEACH
$105 ————————
TRINITY HEALTH LIVONIA HOSPITAL
LIVONIA
$116 ————————
TRINITY HEALTH LIVINGSTON HOSPITAL
HOWELL
$116 ————————
CHELSEA HOSPITAL
CHELSEA
$116 ————————
TRINITY HEALTH OAKLAND HOSPITAL
PONTIAC
$116 ————————
HEALTHSOURCE SAGINAW
HOSPITAL ROAD SAGINAW
$118 ——$65.77——$65.77——
UP HEALTH SYSTEM PORTAGE
HANCOCK
$119 $60.60$37.82$100$100$95.00$100$90.00$95.00
UP HEALTH SYSTEM - BELL
ISHPEMING
$120 $35.35$35.00$35.00$35.00$35.00—$35.00$92.50
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
CHARLEVOIX
$122 $64.46$45.45—$64.46$45.45$64.46$50.99—
DMC HURON VALLEY-SINAI HOSPITAL
COMMERCE CHARTER TOWNSHIP
$124 ————————
DMC HUTZEL WOMEN'S HOSPITAL
DETROIT
$124 ————————
UNIVERSITY OF MICHIGAN HEALTH SYSTEM
SPC 5474
$125 ————————
TRINITY HEALTH MUSKEGON HOSPITAL
MUSKEGON
$130 ————————
TRINITY HEALTH SHELBY HOSPITAL
SHELBY
$130 ————————
TRINITY HEALTH GRAND RAPIDS HOSPITAL
GRAND RAPIDS
$130 ————————
KALKASKA MEMORIAL HEALTH CENTER
KALKASKA
$130 $58.14$45.45$58.14$58.14$45.45$45.45$50.99$138
MUNSON MEDICAL CENTER
TRAVERSE CITY
$132 $57.77$33.71$64.46$64.46$33.71$33.71$50.99$140
BARAGA COUNTY MEMORIAL HOSPITAL
LANSE
$133 ————————
UP HEALTH SYSTEM - MARQUETTE
MARQUETTE
$136 $56.00$31.25$100$100$88.00———
PAUL OLIVER MEMORIAL HOSPITAL
FRANKFORT
$139 $50.53$45.45$53.79$50.53$45.45$45.45$50.99$147
MCKENZIE MEMORIAL HOSPITAL
SANDUSKY
$139 $68.02$64.51$68.02$68.02$63.39———
MUNSON HEALTHCARE GRAYLING
GRAYLING
$140 $57.77$33.71$64.46$64.46$33.71$33.71$50.99—
MUNSON HEALTHCARE CADILLAC
CADILLAC
$149 $57.77$33.71$64.46$64.46$33.71$33.71$50.99—
ASPIRUS KEWEENAW HOSPITAL
LAURIUM
$149 —$63.85——————
ASPIRUS IRONWOOD HOSPITAL
IRONWOOD
$149 ————————
ASPIRUS IRON RIVER HOSPITAL
IRON RIVER
$149 ————————
OTSEGO MEMORIAL HOSPITAL
GAYLORD
$150 $65.10$33.71$64.46$64.46$33.71$33.71$50.99—
MUNSON HEALTHCARE MANISTEE HOSPITAL
MANISTEE
$152 $57.77$33.71$64.46$64.46$33.71$33.71$50.99$158
THREE RIVERS HEALTH HOSPITAL
THREE RIVERS
$157 $34.58$64.52$64.52—$34.58$34.58——
VIBRA HOSPITAL OF SOUTHEASTERN MICHIGAN-DMC CAMPUS
DETROIT
$180 $180————$180——
DECKERVILLE COMMUNITY HOSPITAL
PINE STREET DECKERVILLE
$181 ————————
SHERIDAN COMMUNITY HOSPITAL
SHERIDAN
$182 —$103$103$63.17————
SCHOOLCRAFT MEMORIAL HOSPITAL
MANISTIQUE
$184 $175$174——$178—$180—
OSF ST FRANCIS HOSPITAL & MEDICAL GROUP
ESCANABA
$214 ————————
DMC HARPER UNIVERSITY HOSPITAL
DETROIT
$231 ————————
MEMORIAL HEALTHCARE HOSPITAL
OWOSSO
$254 $66.47$73.73——————
DMC DETROIT RECEIVING HOSPITAL
3M
$295 ————————
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97164, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $145 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $120 for this?

That is the median of what the 62 Michigan hospitals above publish for Re-evaluation for physical therapy, typically 20 minutes — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.

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Medicare reimbursement benchmark

For CPT 97164 in Michigan, Medicare reimburses about $65.47 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Michigan range from $31.50 to $356 — that means hospital cash prices are typically 1.8x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.

Frequently asked questions

How much does re-evaluation for physical therapy, typically 20 minutes cost in Michigan?
Cash prices for re-evaluation for physical therapy, typically 20 minutes (CPT 97164) in Michigan range from $31.50 to $356, with a median of $120. Prices vary widely by hospital.
Where can I find the cheapest re-evaluation for physical therapy, typically 20 minutes in Michigan?
The cheapest Michigan hospital published cash price for this procedure is $31.50. Use the table above sorted by cash price to find the lowest-priced facility near you.
Are these the prices I'll pay?
These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
Why do prices vary so much between hospitals?
Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
Where does this data come from?
Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Re-evaluation for physical therapy, typically 20 minutes in nearby states

Other procedures in Michigan

Methodology. Cash prices and insurance-negotiated rates published by each Michigan facility under federal price transparency rules (45 CFR § 180). CPT code 97164 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.