CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Adventist Health Hanford

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $42
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Adventist Health Hanford is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.45x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $28 (96%)
Insurance Median: $42 (145%)
Cash: $28 (96% of Medicare)
Ins. Median: $42 (145% 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
Bc Mcal $11 - $21 38%
Healthnet Mcal $11 - $21 38%
Kaiser Mcal $11 - $16 38%
Medi-Cal $11 - $16 38%
Universal Hc Mcal Profee $11 38%
Valley Childrens - All Plans $18 - $26 62%
Upn Mcal Profee $20 69%
Aetna $23 - $402 79%
Fresno - All Plans $26 89%
Blue Shield Mcr Adv $30 103%
Fhcn Pace Mcr Adv-All Plans $30 103%
Healthnet Mcr Adv $30 103%
Kaiser Mcr Adv $30 - $41 103%
Prime Health Mcr Adv- All Plans $30 103%
Tricare $30 103%
UnitedHealthcare $30 - $292 103%
Universal Hc Mcr Adv Profee - All Other Plans $30 103%
Upn Mcr Adv Profee - All Other Plans $30 103%
Central Valley Med Prov Profee Only-All Plans $32 110%
Ah Employee Health Plan - All Plans $34 - $55 117%
Cigna $34 - $127 117%
Kaiser - All Other Plans $41 - $106 141%
Blue Shield Epn $42 - $347 145%
Western Growers/Pinnacle- All Plans $42 - $100 145%
Blue Shield Non-Epn - All Other Plans $44 - $409 151%
Healthnet - All Other Plans $44 - $114 151%
Blue Cross Blue Shield $47 - $492 162%
Bright Health Mcr Adv-All Plans $48 165%
Key Medical Group Commercial - All Other Plans $75 258%
Key Medical Mcr Adv $75 258%
Phcs Ppo- All Plans $138 475%
Community Hlth Ntwork-All Plans $143 492%
Interplan- All Plans $150 516%
First Health - All Plans $166 571%
Choicecare- All Plans $175 602%
Multiplan- All Plans $177 609%
Beech Street- All Plans $181 623%
Preferred Health Network- All Plans $202 695%
Pacific Health Alliance- All Plans $207 712%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals