CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $54
Cash Discount Price: $55
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Medical West, An Affiliate of UAB Health System is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.86x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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%)

Cash / Self-Pay: $55 (189%)

Insurance Median: $54 (186%)

Cash: $55 (189% of Medicare)

Ins. Median: $54 (186% 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.

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
Aetna	$9 - $116	31%
Cigna	$13 - $213	45%
Viva	$26 - $82	89%
Triwest	$28	96%
Phcs	$32 - $116	110%
Beech Street	$33 - $116	114%
One Health Plan	$34 - $107	117%
Geha	$37 - $116	127%
Healthchoice	$37 - $116	127%
Alamed	$42 - $129	145%
Construction Claims Management	$43 - $134	148%
Multiplan	$43 - $135	148%
Corvel	$44 - $148	151%
Novanet	$44 - $138	151%
Humana	$45 - $140	155%
Department Of Labor	$46 - $144	158%
Heritage Summit Health	$46 - $144	158%
Pnoa	$48 - $148	165%
Three Rivers	$48 - $148	165%
UnitedHealthcare	$166	571%

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 $55.
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 Medical West, An Affiliate of UAB Health System 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.