CMS Price Transparency Data
Physical therapy (therapeutic exercise)
Facility: Monterey Park Hospital
Billing Code: 97110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97110
- Insurance Median: $96
- Cash Discount Price: $285
- vs. Medicare Baseline: 3.30x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Monterey Park Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 3.30x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$285
Average discount available for prompt cash payment at this facility.
Insurance Median
$96
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: $285 (981%)
Insurance Median: $96 (330%)
Cash: $285 (981% of Medicare)
Ins. Median: $96 (330% 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 330% of the Medicare baseline (a markup of 230%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Accountable Ipa | $9 | 31% |
| Allied Physicians | $9 - $48 | 31% |
| Alta Med Health Services Corp | $9 - $143 | 31% |
| Altamed Health Network | $9 - $32 | 31% |
| Assess Ipa | $9 | 31% |
| Blue Cross Blue Shield | $9 - $286 | 31% |
| Care 1St Mcl/Gar Cap | $9 | 31% |
| Family Health Alliance Medical Group | $9 - $60 | 31% |
| Healthnet Inc | $9 | 31% |
| La Care | $9 - $32 | 31% |
| Medical Managed Care Program | $9 | 31% |
| Molina Healthcare | $9 | 31% |
| Preferred Ipa Of California | $9 | 31% |
| Access Ipa Ancillary | $11 - $32 | 38% |
| Ahmc Healthcare Inc | $11 - $172 | 38% |
| Alhambra Community Dialysis Unit Inc | $11 - $344 | 38% |
| Altamed Health Services | $11 | 38% |
| Applecare Medical Group | $11 - $26 | 38% |
| Associated Hispanic Physicians Ancillary | $11 - $25 | 38% |
| Beverly Hospital | $11 - $35 | 38% |
| Brand New Day | $11 - $40 | 38% |
| Community Health Plan | $11 | 38% |
| Esperanza Medical Group Ipa | $11 - $60 | 38% |
| Health Net Medi Cal | $11 | 38% |
| Healthy Way La | $11 | 38% |
| La Care Health Plan | $11 - $315 | 38% |
| Other Non-Contracted Medi-Cal | $11 | 38% |
| Preferred Ipa | $11 - $40 | 38% |
| Aids Health Foundation | $13 - $32 | 45% |
| Avanti | $13 - $38 | 45% |
| Emanate Health | $13 - $40 | 45% |
| Hollywood Presbyterian Adv Med Mcal | $13 | 45% |
| Hollywood Presbyterian Medpoint Mcal | $13 | 45% |
| Maxi Med Inc/Ipa | $13 - $32 | 45% |
| Medi Cal | $13 | 45% |
| Pacific Independent Physician Association | $13 - $60 | 45% |
| Bella Vista Medical Group Ancillary | $16 | 55% |
| Central Health Plan | $16 | 55% |
| Caloptima Direct | $18 | 62% |
| Altamed Health Services Corporation | $20 - $57 | 69% |
| Care 1St M Cal | $20 - $57 | 69% |
| Crown City Medical Group Inc | $20 - $57 | 69% |
| Physician Healthways | $20 - $57 | 69% |
| Universal Care M Cal/Advantage Health Network | $20 - $57 | 69% |
| Veterans Administration | $22 | 76% |
| Bella Vista Medical Group | $26 - $172 | 89% |
| Senior Citizens Choice | $28 | 96% |
| Aetna | $30 - $417 | 103% |
| Alignment Health Plan | $32 | 110% |
| Apa/Aco Inc | $32 | 110% |
| Blue Shield Of California | $32 - $433 | 110% |
| Cms | $32 | 110% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $32 | 110% |
| Easy Choice Health Plan | $32 | 110% |
| First Health Senior | $32 | 110% |
| Foundation Health Plan | $32 | 110% |
| Health Net | $32 - $135 | 110% |
| Health Net Inc | $32 - $234 | 110% |
| Humana | $32 | 110% |
| Interplan | $32 - $430 | 110% |
| La Care Covered Direct | $32 | 110% |
| Medicare (plans) | $32 - $33 | 110% |
| Preferred Health Network | $32 - $458 | 110% |
| Scan Health Plan | $32 | 110% |
| Secure Horizons | $32 | 110% |
| Self-Pay | $32 | 110% |
| Ucla/Impact Cancer | $32 | 110% |
| UnitedHealthcare | $32 - $401 | 110% |
| Asi Flex Ppo W/C | $33 | 114% |
| Athens Administrators | $33 | 114% |
| Indemnity W Comp Fee Schedule | $33 | 114% |
| Molina Healthcare Medi-Connect | $33 | 114% |
| Multiplan | $33 - $487 | 114% |
| San Miguel Health Plan | $35 | 120% |
| Employee Health Systems Medical Group | $39 - $115 | 134% |
| Global Care Medical Group Ipa | $39 - $258 | 134% |
| Healthnet/Ehs Capitation | $39 - $115 | 134% |
| Ahmc Health Epo | $40 | 138% |
| Knox-Keene Act | $40 | 138% |
| Molina Healthcare Of California | $40 | 138% |
| Hispanic Physicians Ipa Medical Corporation | $49 - $143 | 169% |
| Garfield Medical Center | $54 | 186% |
| Ahmc Reciprocity Agreement Senior/Commercial | $59 - $172 | 203% |
| Community Health Plan M Cal Joy Ipa | $59 - $172 | 203% |
| Tenet Reciprocity | $59 - $172 | 203% |
| Allied Physicians Ipa | $60 | 206% |
| Healthcare Partners Affiliates Medical Group | $70 - $205 | 241% |
| Molina Medical Centers | $76 - $223 | 262% |
| Central Health Plan Of California | $78 - $229 | 268% |
| Health Net Of California | $96 - $343 | 330% |
| Care 1St Health Plan | $118 - $344 | 406% |
| Greater Los Angeles Dialysis Inc | $118 - $344 | 406% |
| One Health Plan | $118 - $775 | 406% |
| Choice Care Network | $127 - $372 | 437% |
| Healthnet | $127 - $372 | 437% |
| Universal Care | $137 - $401 | 471% |
| Corvel Corporation | $157 - $925 | 540% |
| Bce Emergis Corp | $167 - $487 | 575% |
| Commercial Non Contract | $196 - $573 | 674% |
| Mri/Ct Greater El Monte Hospital | $196 - $573 | 674% |
| Mri/Mra/Alhambra Hospital | $196 - $573 | 674% |
| Mri/Mra/Eladh | $196 - $573 | 674% |
| One Legacy | $196 - $573 | 674% |
| Pacificare | $219 - $263 | 754% |
| Cigna | $525 | 1807% |