CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: University of Alabama Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $202
Cash Discount Price: Unavailable
vs. Medicare Baseline: 6.95x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at University of Alabama Hospital is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 6.95x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$202

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)

Insurance Median: $202 (695%)

Ins. Median: $202 (695% of 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 695% of the Medicare baseline (a markup of 595%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Viva	$14	48%
Triwest	$28	96%
University Of Alabama	$125	430%
UnitedHealthcare	$136 - $223	468%
Aetna	$152	523%
Coventry	$162 - $202	557%
North Alabama Managed Care	$162	557%
Cigna	$168 - $191	578%
Comp One	$180	619%
Construction Claims Management	$187	643%
Alamed	$188	647%
Corvel	$200	688%
Evolutions	$200 - $225	688%
Healthcare Alliance	$200	688%
Novanet	$200 - $225	688%
Prime Health Services	$200 - $225	688%
Select Value Care	$200	688%
Starcare	$200	688%
Tethys	$200	688%
Multiplan	$205	705%
Department Of Labor	$212	730%
Geha	$212	730%
Gulf Health Plans	$212	730%
Heritage Summit Health	$212	730%
Humana	$212	730%
Mississippi Physicians	$212	730%
Phifer	$212	730%
Preferred Health Partnership	$212	730%
Southern Nuclear	$212	730%
Vantage Health Plan	$212	730%
Galaxy Health Network	$225	774%
National Provider Network	$225	774%
North Mississippi Health Link	$225	774%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Alabama Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.