CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Good Samaritan Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $48
  • Cash Discount Price: $738
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Good Samaritan Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $738. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.65x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.
Cash / Self-Pay
$738

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $738 (2540%)
Insurance Median: $48 (165%)
Cash: $738 (2540% of Medicare)
Ins. Median: $48 (165% 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
Physicians Medical Group $13 45%
Blue Cross Blue Shield $14 - $37 48%
Aetna $32 - $37 110%
Affinity Medical Group $32 - $37 110%
Alignment Health Plan $32 - $37 110%
Central Health Plan $32 - $37 110%
Clever Care Of Golden State $32 - $37 110%
Easy Choice Health Plan $32 - $37 110%
Humana $32 - $521 110%
Managed Health Network $32 - $37 110%
On Lok Senior Health $32 - $37 110%
Palo Alto Medical $32 - $48 110%
Santa Clara Family Health Plan $32 - $141 110%
Scan Health Plan $32 - $37 110%
Triwest Healthcare Alliance $32 - $37 110%
University Healthcare $32 - $37 110%
Vitality Health Plan $32 - $37 110%
Blue Shield $33 - $128 114%
Care1St Health Plan $33 - $37 114%
United $33 - $190 114%
Health Net $36 - $173 124%
Corvel Corporation $38 - $43 131%
Affinity Medical Group Comm $42 - $48 145%
Canopy $58 - $66 200%
Medcare Partners $67 - $112 231%
Bright Health $90 - $150 310%
Nx Health Network $270 - $447 929%
Sutter Select $270 - $447 929%
Multiplan $292 - $595 1005%
First Health $341 - $744 1173%
Cigna $359 - $595 1235%
Healthsmart $359 - $633 1235%
Intercontinental Corporation $359 - $595 1235%
Pha Pacific Health Alliance $359 - $595 1235%
Ppo Next $359 - $595 1235%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals