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.
Hospital comparison — Michigan
Sorted by cash price (lowest first). Showing top 60 of 62 hospitals.
| Hospital | Cash | Aetna | BCBS | Humana | Medicare | UHC | Molina | Cigna | MultiPlan |
|---|---|---|---|---|---|---|---|---|---|
| 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 | — | — | — | — | — | — | — | — |
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.
Build my dispute letter — freeNo account, no signup. Your bill never leaves your browser.
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.