CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Crestwood Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $53
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Crestwood Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.82x the Medicare baseline. Located in One Hospital Dr Se, Huntsville, AL.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $60 (206%)
Insurance Median: $53 (182%)
Cash: $60 (206% of Medicare)
Ins. Median: $53 (182% 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.

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
Medicaid / KanCare $22 76%
Tricare $25 86%
Alacare Hospice $27 93%
Blue Cross Blue Shield $27 - $57 93%
Cigna $27 - $99 93%
Hospice $27 93%
Humana $27 93%
Medicare (plans) $27 93%
Node Champva $27 93%
Node Clover Health Mcr Adv $27 93%
Node Devoted Health Mcr Adv $27 93%
Node Select Health Mcr Adv $27 93%
Node Va $27 93%
Node Windsor Mcr Adv $27 93%
UnitedHealthcare $27 - $154 93%
Veterans Eval Services $27 93%
Viva Health $27 93%
Aetna $28 96%
Node Wellcare Mcr Adv $28 96%
Node Prime Health Mcr Adv $29 100%
Occunet $34 117%
Ambetter / Centene $41 141%
Node Us Dept Of Labor $42 145%
America'S Choice $51 - $247 175%
Alamed $53 182%
Self Pay $56 - $65 193%
American Employee Alliance $124 427%
Wc Hart & Cooley $124 - $154 427%
Wc Acs Compiq Xerox $190 654%
Fortified $214 - $247 736%
Core Choice $216 - $226 743%
Prime Health $216 - $238 743%
Coventry $219 754%
Rockport $221 760%
Novanet $226 - $232 778%
Wc Al $238 819%
Multiplan $263 905%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Dr Se, Huntsville, AL 35801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals