CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Baptist Memorial Hospital-Crittenden, Inc

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $119
Cash Discount Price: $38
vs. Medicare Baseline: 4.09x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Baptist Memorial Hospital-Crittenden, Inc is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 4.09x the Medicare baseline. Located in 2100 North Seventh Street, West Memphis, AR.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $38 (131%)

Insurance Median: $119 (409%)

Cash: $38 (131% of Medicare)

Ins. Median: $119 (409% 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 409% of the Medicare baseline (a markup of 309%). 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%
Caresource	$18	62%
Tribute Health Plan	$23	79%
Aetna	$26 - $79	89%
Blue Cross Blue Shield	$30 - $157	103%
Novasys	$31 - $41	107%
Magnolia Tn	$47 - $62	162%
Humana	$57	196%
Ppo Holdings	$76 - $100	262%
Cooper Realty	$80 - $105	275%
Magnolia Regional Health Center	$80 - $105	275%
Multiplan	$86 - $196	296%
Littler	$100 - $131	344%
First Choice Health Plan Of Ms	$105 - $139	361%
Access Health Services	$119 - $157	409%
Butler Snow	$119 - $157	409%
Primewell	$119 - $157	409%
Oscar	$130	447%
Ppo Plus	$159 - $210	547%

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 $38.
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-Crittenden, 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.