Physical therapy (therapeutic exercise)
Facility: Johnson Memorial Hospital
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $135
- Cash Discount Price: $93
- vs. Medicare Baseline: 4.65x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 465% of the Medicare baseline (a markup of 365%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $30 - $136 | 103% |
| Blue Cross Blue Shield | $30 - $117 | 103% |
| Medicare (plans) | $30 - $32 | 103% |
| UnitedHealthcare | $30 - $369 | 103% |
| Cca Senior Care Options | $31 | 107% |
| Cigna | $31 - $160 | 107% |
| Fallon Health | $40 | 138% |
| Connecticut Dept of Correction | $55 - $59 | 189% |
| Innovative Health Plan II | $64 | 220% |
| Diversified Administrators | $64 | 220% |
| Claimdoc | $64 | 220% |
| Centivo | $71 | 244% |
| Health New England | $106 - $114 | 365% |
| Blue Shield - Id (Regence) | $117 | 403% |
| Blue Care Network | $117 | 403% |
| Blue Shield - Ny Highmark Western | $117 | 403% |
| Bcn Domestic | $117 | 403% |
| Kaiser Domestic | $117 | 403% |
| Wc Domestic | $117 | 403% |
| Blue Distinction Transplant | $117 | 403% |
| Blue Shield - Wa (Regence) | $117 | 403% |
| Blue Shield - Ny Highmark Northeastern | $117 | 403% |
| Health Choices | $117 | 403% |
| Wellpoint | $117 | 403% |
| Blue Benefit Administrators of Massachusetts | $117 | 403% |
| Unicare | $117 | 403% |
| Blue Shield - Ca | $117 | 403% |
| Pre-Employment | $117 | 403% |
| Blue Shield - PA (Highmark) | $117 | 403% |
| Allied Benefit Systems | $127 - $136 | 437% |
| Webtpa | $127 - $136 | 437% |
| 1199 National Benefit Fund | $127 - $136 | 437% |
| Meritain | $127 - $136 | 437% |
| Luminare Health | $127 - $136 | 437% |
| Gravie Admin Services | $127 - $136 | 437% |
| Hap | $127 - $136 | 437% |
| Nippon Life Ins | $127 - $136 | 437% |
| Prime Health Services | $130 - $140 | 447% |
| Lifetime Benefit Solutions | $135 - $145 | 465% |
| Christian Care Ministry | $135 - $145 | 465% |
| Dean Health | $135 - $145 | 465% |
| PHCS | $135 - $145 | 465% |
| International Benefit Administrators | $135 - $145 | 465% |
| Pai | $135 - $145 | 465% |
| Manhattan Life | $135 - $145 | 465% |
| Multiplan | $135 - $145 | 465% |
| Paramount HMO | $135 - $145 | 465% |
| Mvp | $135 - $145 | 465% |
| Ghc Scw | $135 - $145 | 465% |
| Family Life Insurance Company | $135 - $145 | 465% |
| Medi Share | $135 - $145 | 465% |
| Trinity Health Share | $135 - $145 | 465% |
| Allied National Global Care | $135 - $145 | 465% |
| Pan-American Life | $135 - $145 | 465% |
| Asrm - Reliance Standard Life Insurance | $135 - $145 | 465% |
| Health Smart | $139 - $149 | 478% |
| Health Partners | $149 - $160 | 513% |
| Allegiance | $149 - $160 | 513% |
| Magnacare | $149 - $160 | 513% |
| United Behavioral Health Eap | $163 - $175 | 561% |
| Connecticare | $242 - $314 | 833% |
| Geha | $369 | 1270% |
| Harvard Pilgrim Healthcare | $369 | 1270% |