CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $30
  • Cash Discount Price: $304
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at The Medical Center of Aurora & South Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.03x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.
Cash / Self-Pay
$304

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $304 (1046%)
Insurance Median: $30 (103%)
Cash: $304 (1046% of Medicare)
Ins. Median: $30 (103% 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
Aetna $26 - $161 89%
Blue Cross Blue Shield $26 - $225 89%
Bright Health $26 - $91 89%
Cigna $26 - $195 89%
Devoted Health $26 - $30 89%
Humana $26 - $30 89%
Mutual Of Omaha $26 - $30 89%
Rocky Mountain Health $26 - $30 89%
Total Longterm Care $26 - $30 89%
Triwest Health Alliance $26 - $30 89%
United $26 - $137 89%
Kaiser $27 - $108 93%
Wellcare $27 - $31 93%
Delaware Life Insurance $28 - $32 96%
Vail Health $46 158%
Colorado Program For Children With Special Needs $128 440%
Western Plains Community Health $198 681%
Multiplan $213 - $274 733%
Northcare $213 733%
Physician Health Partners $213 733%
Pinnacol Workers Comp $228 785%
Medical Development International $243 836%
Prime Health $274 943%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 S Potomac St, Aurora, CO 80012
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals