CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Adventist Health Bakersfield

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $44
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Adventist Health Bakersfield is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.51x the Medicare baseline. Located in 2615 Chester Avenue, Bakersfield, CA.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $24 (83%)
Insurance Median: $44 (151%)
Cash: $24 (83% of Medicare)
Ins. Median: $44 (151% 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 Medi-Cal $11 - $18 38%
Medi-Cal $11 - $16 38%
Universal Hc Mcal Profee Only $11 38%
Kern Health Systems Mcal $15 - $20 52%
Kaiser Mcal Ip/Op Only $16 55%
Healthnet Mcal $19 65%
Aetna $22 - $109 76%
Blue Shield Mcr Adv $31 107%
Fhcn Pace Mcr Adv - All Plans $31 107%
Gem Care- All Plans $31 - $124 107%
Healthnet Mcr Adv $31 107%
Kaiser Mcr Adv Ip/Op Only $31 107%
Kern Legacy Share Select $31 - $124 107%
Oscar - All Plans $31 - $49 107%
Premier Physician Alliance Profee Only-All Plans $31 107%
UnitedHealthcare $31 - $267 107%
Universal Health Plan Mcare-All Other Plans $31 107%
County Of Kern - All Plans $34 - $124 117%
Employee Health Plan - All Plans $34 - $55 117%
Kern Legacy Hp Epo - All Other Plans $34 - $124 117%
Amrcn Indian Hlth Proj Mcr Adv - All Plans $37 127%
Cigna $39 - $128 134%
Network Provdrs Llc Mcare -All Payers $40 138%
Blue Shield Epn $42 - $335 145%
Western Growers/Pinnacle- All Plans $42 - $119 145%
Blue Shield Epo/Ppo $44 - $373 151%
Blue Shield Hmo/Pos - All Other Plans $44 - $373 151%
Healthnet Hmo/Pos/Ppo/Epo - All Other Plans $44 - $184 151%
Centivo - All Plans $46 - $69 158%
Blue Cross Blue Shield $47 - $652 162%
Kaiser Comm Hmo Ip/Op Only-All Other Plans $53 182%
First Health/Coventry- All Plans $148 509%
Phcs- All Plans $161 554%
Interplan- All Plans $173 595%
Affiliated Health Funds-All Plans $198 681%
Integrated Health Plan-All Plans $198 681%
Three Rivers Provider Network- All Plans $198 681%
Beech Street- All Plans $210 723%
Galaxy Health Network- All Plans $222 764%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2615 Chester Avenue, Bakersfield, CA 93301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals