Physical therapy (therapeutic exercise)
Facility: Adventist Health Tulare
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $44
- Cash Discount Price: $30
- vs. Medicare Baseline: 1.51x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $11 - $410 | 38% |
| Ccipa Medi-Cal - All Plans | $11 - $20 | 38% |
| Healthnet Medi-Cal | $11 - $21 | 38% |
| Medi-Cal | $11 - $16 | 38% |
| Upn-United Physcn Ntwrk Mcal Profee Only | $11 | 38% |
| Dignity Mcal Op Only | $17 | 58% |
| Independence Op Only - All Plans | $17 | 58% |
| Aetna | $23 - $141 | 79% |
| Blue Shield Mcare | $30 | 103% |
| Dignity Mcr Op Only - All Other Plans | $30 | 103% |
| Fhcn Pace Mcr Adv - All Plans | $30 | 103% |
| Medicare (plans) | $30 | 103% |
| Prime Health - All Plans | $30 | 103% |
| Tricare | $30 | 103% |
| UnitedHealthcare | $30 - $602 | 103% |
| Upn-United Physcn Ntwrk Mcr Adv Profee Only-All Ot | $30 | 103% |
| Ah Employee Health Plan - All Plans | $34 - $55 | 117% |
| Incentive Hlth - All Plans | $34 - $55 | 117% |
| Cigna | $38 - $99 | 131% |
| Hs Interplan-All Plans | $38 - $143 | 131% |
| Prison Hlthcre - All Plans | $39 | 134% |
| Cal Forensic Med Grp - All Plans | $40 | 138% |
| Blue Shield Epn | $42 - $256 | 145% |
| Blue Shield-All Other Plans | $44 - $356 | 151% |
| Bright Health - All Plans | $44 | 151% |
| Healthnet Hmo/Ppo - All Other Plans | $44 - $81 | 151% |
| Lasalle Mg Op Only - All Plans | $50 | 172% |
| Western Growers - All Plans | $73 - $100 | 251% |
| Network By Design-All Plans | $101 - $138 | 348% |
| Multiplan - All Plans | $132 - $181 | 454% |