Physical therapy (therapeutic exercise)
Facility: University Medical Center
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $147
- Cash Discount Price: $123
- vs. Medicare Baseline: 5.06x 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 506% of the Medicare baseline (a markup of 406%). 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 |
|---|---|---|
| Beech Street | $22 - $163 | 76% |
| Cement Masons & Plasters H&W | $22 - $147 | 76% |
| Aig | $22 - $163 | 76% |
| Cigna | $24 - $100 | 83% |
| Kaiser | $24 - $100 | 83% |
| National Security Technologies | $24 - $100 | 83% |
| City of North Las Vegas | $24 - $147 | 83% |
| Cirque De Soleil | $24 - $100 | 83% |
| Great West Healthcare | $24 - $100 | 83% |
| Blue Cross Blue Shield | $28 - $100 | 96% |
| Sierra Health and Life | $28 - $239 | 96% |
| Molina | $28 - $219 | 96% |
| Ambetter / Centene | $28 - $219 | 96% |
| Surest | $29 - $323 | 100% |
| Switch | $29 - $147 | 100% |
| UnitedHealthcare | $29 - $323 | 100% |
| Las Vegas Firefighters 1285 | $29 - $147 | 100% |
| American Postal Workers Health Plan | $29 - $323 | 100% |
| Teamsters Local 986 | $33 - $147 | 114% |
| So Ca Pipe Trades H&W | $33 - $100 | 114% |
| Ufcw Local 711 Retail Clerks | $33 - $147 | 114% |
| California Ironwork Field Welfare | $33 - $100 | 114% |
| Teamsters Local 14 | $33 - $147 | 114% |
| Laborers Health and Welfare | $33 - $147 | 114% |
| Boyd Group | $33 - $147 | 114% |
| Caesar's Entertainment | $33 - $147 | 114% |
| Sheet Metal Workers | $33 - $100 | 114% |
| Bricklayers Local 13 | $33 - $147 | 114% |
| Southwest Carpenters H&W | $33 - $100 | 114% |
| Electrical Workers | $33 - $147 | 114% |
| Plumbers & Pipefitters Loc 525 | $33 - $147 | 114% |
| Teamsters Local 631 | $33 - $147 | 114% |
| Operating Engineers | $33 - $147 | 114% |
| Aetna | $45 - $179 | 155% |
| Mail Handlers Benefit Plan | $49 | 169% |
| Coventry | $49 | 169% |
| Nevada Energy | $49 | 169% |
| First Health | $57 | 196% |
| Three Rivers Provider Network | $57 | 196% |
| Health Net | $57 - $338 | 196% |
| Advantra Freedom | $100 | 344% |
| Scan | $119 | 409% |
| Clark County Detention Center | $119 | 409% |
| Alignment Health | $119 | 409% |
| Resorts World Las Vegas | $147 | 506% |
| Nevada Hand | $147 | 506% |
| Clark County Self Funded | $147 | 506% |
| Las Vegas Metro Police Dept | $147 | 506% |
| City of Henderson | $147 | 506% |
| Culinary Workers Hwf | $147 | 506% |
| Mgm Grand | $147 | 506% |
| Clark County Firefighters 1908 | $147 | 506% |
| Clark County EPO | $147 | 506% |
| Mirage Las Vegas | $147 | 506% |
| Wynn Resorts | $147 | 506% |
| Employee Painters Trust | $147 | 506% |
| Stations Casinos | $153 | 526% |
| Dignity Health | $153 | 526% |
| Pli Las Vegas | $153 | 526% |
| Marshall Retail Group | $153 | 526% |
| Venetian/Palazzo | $153 | 526% |
| Teacher's Health Trust | $153 | 526% |
| Arroweye Solutions | $153 | 526% |
| Truline Corporation | $153 | 526% |
| P3 Health Partners | $153 | 526% |
| Rebel Oil Company | $153 | 526% |
| Golden Nugget Hotel & Casino | $153 | 526% |
| Golden Entertainment | $153 | 526% |
| State of Nevada | $153 | 526% |
| Laughlin Coalition | $155 | 533% |
| Selecthealth | $219 | 754% |
| Health Direct Partners | $219 | 754% |
| Nevada Preferred Professionals | $239 | 822% |
| Prominence Health Plan | $239 | 822% |
| Jw Marriott | $239 | 822% |
| Zuffa | $239 | 822% |
| Universal Health Network (Uhn) | $239 | 822% |
| One Health Plan | $243 | 836% |
| Hometown Health Plan of Nevada | $243 | 836% |
| Las Vegas Sand Corps | $323 | 1111% |
| VA Pc3 (VA Choice) | $358 | 1232% |