Physical therapy (therapeutic exercise)
Facility: Mercy St Francis Hospital
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $95
- Cash Discount Price: $69
- vs. Medicare Baseline: 3.27x 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 327% of the Medicare baseline (a markup of 227%). 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 |
|---|---|---|
| Medicaid / KanCare | $28 - $55 | 96% |
| Blue Cross Blue Shield | $28 - $103 | 96% |
| Medicare (plans) | $28 - $38 | 96% |
| Halo Hcr Inc Hospice [20432] | $29 - $36 | 100% |
| Kindful Hospice [20434] | $29 - $36 | 100% |
| Globalhealth Contracted [320145] | $29 - $36 | 100% |
| Cross Timbers Hospice [20098] | $29 - $36 | 100% |
| Mercy Mgd Behavioral Health Contracted [320259] | $29 - $36 | 100% |
| Indian Health Service Contracted [320198] | $29 - $36 | 100% |
| Provider Partners Health Plans Contracted [320450] | $29 - $36 | 100% |
| Acentra Health Contracted [320527] | $29 | 100% |
| Kindful Hospice Contracted [320434] | $29 - $36 | 100% |
| Humana | $29 - $95 | 100% |
| Cherokee Nation Health Serv Contracted [320066] | $29 - $36 | 100% |
| Dept of Veteran Affairs Contracted [320106] | $29 - $36 | 100% |
| Halo Hcr Inc Hospice Contracted [320432] | $29 - $36 | 100% |
| Cigna | $29 - $101 | 100% |
| Qual Choice Contracted [320325] | $29 - $36 | 100% |
| Mercy Hospice Okc [20252] | $29 - $36 | 100% |
| UnitedHealthcare | $29 - $101 | 100% |
| Pace of the Ozarks Contracted [320518] | $29 - $36 | 100% |
| Medical Associates Health Contracted [320444] | $29 - $36 | 100% |
| Elara Caring Aspire Hospice [20433] | $29 - $36 | 100% |
| Aetna | $29 - $94 | 100% |
| Healthscope Contracted [320182] | $36 - $48 | 124% |
| Tricare | $36 | 124% |
| Centivo Contracted [320505] | $48 - $61 | 165% |
| Administrative Payor Contracted [320005] | $48 | 165% |
| Home State Health Plan Contracted [320187] | $55 | 189% |
| Novasys Contracted [320285] | $55 | 189% |
| Ambetter / Centene | $55 | 189% |
| Preferred Health Plan Contracted [320522] | $69 | 237% |
| Healthlink Contracted [320179] | $69 - $101 | 237% |
| Workers Comp [20426] | $85 - $90 | 292% |
| United Medical Resources Contracted [320454] | $95 - $99 | 327% |
| Point C Contracted [320238] | $95 - $101 | 327% |
| Auxiant Contracted [320462] | $95 - $101 | 327% |
| Mercy Benefit Admin Contracted [320251] | $95 - $101 | 327% |
| Medica Contracted [320239] | $100 | 344% |
| Reflect Health Contracted [320492] | $101 | 348% |
| Imagine 360 Contracted [320494] | $101 | 348% |
| Edison Health Solutions Contracted [320502] | $101 | 348% |
| Evolutions Health Care Contracted [320124] | $101 | 348% |
| Point C [20238] | $101 | 348% |
| Multiplan Contracted [320270] | $101 | 348% |
| Yuzu Health Contracted [320521] | $101 | 348% |
| Show-Me Health Administrators Contracted [320483] | $101 | 348% |
| 90 Degree Benefits Contracted [320436] | $101 | 348% |
| First Health Contracted [320128] | $101 | 348% |
| Insurance System Inc Contracted [320465] | $101 | 348% |
| Health Systems Inc Contracted [320174] | $101 | 348% |
| Aither Health Contracted [320449] | $101 | 348% |
| Private Health Care Systems Contracted [320320] | $101 | 348% |
| USA Managed Care Org Contracted [320429] | $101 | 348% |
| Benefit Management Contracted [320052] | $101 | 348% |
| Ebms Contracted [320493] | $101 | 348% |