CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Adventist Health White Memorial Montebello

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $32
Cash Discount Price: $32
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Adventist Health White Memorial Montebello is $32. 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 1.10x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $32 (110%)

Cash: $32 (110% of Medicare)

Ins. Median: $32 (110% 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
Altamed Mcal	$16	55%
Bc Mcal	$16	55%
Blue Shield Promise Mcal	$16	55%
Brand New Day Mcal	$16	55%
Healthnet Mcal	$16	55%
Kaiser Mcal	$16	55%
La Care Mcal	$16	55%
Medi-Cal	$16	55%
Molina Mcal - All Plans	$16	55%
Aetna	$32 - $101	110%
Alignment Health Plan-All Plans	$32	110%
Altamed Mcare-All Other Plans	$32	110%
Blue Shield Mcare Adv	$32	110%
Brand New Day Mcare-All Other Plans	$32	110%
Brandman Health Plan-All Plans	$32	110%
Caremore-All Plans	$32	110%
Clever Care Hp-All Plans	$32	110%
Easy Choice Mcare Adv-All Plans	$32	110%
Healthnet Med Adv	$32	110%
Kaiser Mcare Adv	$32	110%
Scan Health-All Plans	$32	110%
Oscar-All Plans	$34	117%
Blue Shield Epn Ifp	$37	127%
Cigna	$59	203%
Healthnet Salud	$73 - $82	251%
Healthnet Comm-All Other Plans	$88 - $99	303%
Blue Cross Blue Shield	$147	506%
Healthcare Partners-All Plans	$160	551%
UnitedHealthcare	$181	623%
Blue Shield Epn Core	$209	719%
Blue Shield Comm - All Other Plans	$217	747%

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 Adventist Health White Memorial Montebello 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.