CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Baptist Memorial Hospital Jonesboro, Inc.

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $103
Cash Discount Price: $32
vs. Medicare Baseline: 3.54x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Baptist Memorial Hospital Jonesboro, Inc. is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 3.54x the Medicare baseline. Located in 4800 East Johnson Avenue, Jonesboro, AR.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $32 (110%)

Insurance Median: $103 (354%)

Cash: $32 (110% of Medicare)

Ins. Median: $103 (354% 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 354% of the Medicare baseline (a markup of 254%). 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
Summit Community Care	$17	58%
Access Health Services	$18 - $256	62%
Caresource	$18	62%
Aetna	$26 - $128	89%
Novasys	$26 - $70	89%
Cigna	$27 - $111	93%
Humana	$27 - $106	93%
Blue Cross Blue Shield	$30 - $256	103%
Home State Health Plan	$40 - $106	138%
Ppo Holdings	$60 - $162	206%
Magnolia Regional Health Center	$64 - $170	220%
Multiplan	$68 - $298	234%
Littler	$80 - $213	275%
Ppo Plus	$80 - $341	275%
Primewell	$95 - $256	327%
First Choice Health Plan Of Ms	$111 - $298	382%
Municipal Health Benefit Fund	$111 - $298	382%
Mpcn	$119 - $320	409%
Healthlink	$127 - $341	437%
UnitedHealthcare	$130	447%

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 $32.
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 Baptist Memorial Hospital Jonesboro, Inc. 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.