Physical therapy (therapeutic exercise)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $143
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 4.92x 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 492% of the Medicare baseline (a markup of 392%). 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 |
|---|---|---|
| UnitedHealthcare | $21 - $154 | 72% |
| Americhoice | $21 - $28 | 72% |
| Horizon | $22 - $152 | 76% |
| Wellcare | $22 - $30 | 76% |
| Self Pay | $24 - $33 | 83% |
| Devoted Health Plan | $38 | 131% |
| Amerigroup | $41 - $56 | 141% |
| Global Exchange Managed Care | $56 | 193% |
| Magnacare | $64 - $195 | 220% |
| Cigna | $67 - $109 | 231% |
| Health Partners Plan | $75 | 258% |
| Aetna | $77 - $163 | 265% |
| Qualcare Commercial | $80 - $108 | 275% |
| Evernorth | $80 - $108 | 275% |
| Great West Life | $80 - $109 | 275% |
| Amerihealth | $102 - $182 | 351% |
| First McO | $103 - $141 | 354% |
| Mutual of Omaha | $103 - $141 | 354% |
| Active Care Plus | $103 - $141 | 354% |
| Qualcare Wc | $103 - $141 | 354% |
| Donio Trucking | $111 - $152 | 382% |
| Consumer Health Network (Chn) | $111 - $195 | 382% |
| Devon/ Ullicare | $119 - $163 | 409% |
| Oxford | $119 - $163 | 409% |
| Private Healthcare System (PHCS) | $127 - $174 | 437% |
| Coventry Health Care | $127 - $174 | 437% |
| Blue Cross Blue Shield | $131 - $179 | 451% |
| Metrahealth of Nj | $135 - $184 | 465% |
| Three Rivers Provider Network (Trpn) | $135 - $184 | 465% |
| Prime Health Services | $135 - $184 | 465% |
| Health South | $135 - $184 | 465% |
| Health Payors Org | $135 - $184 | 465% |
| Metracomp | $143 - $195 | 492% |
| Health Network Inc | $143 - $195 | 492% |
| Choice Care | $143 - $195 | 492% |
| Intergroup Preferred Program | $143 - $195 | 492% |
| Multiplan | $143 - $195 | 492% |
| Beech Street | $143 - $195 | 492% |
| Active Care Nj Pip | $143 - $195 | 492% |
| Galaxy Health Network | $143 - $195 | 492% |
| McS Commercial | $143 - $195 | 492% |
| Department of Corrections | $143 - $195 | 492% |
| Provider Select, Inc | $143 - $195 | 492% |
| Master Care Inc | $147 - $201 | 506% |
| Atlantis Health Plan | $147 - $201 | 506% |
| McSi/Mrsi Worker's Comp | $151 - $206 | 520% |
| Community Care Network | $151 - $206 | 520% |
| Advance Healthcare System | $151 - $206 | 520% |
| McSi/Mrsi No Fault | $151 - $206 | 520% |
| Health Network America | $151 - $206 | 520% |
| National Health Plan | $151 - $206 | 520% |