CMS Price Transparency Data
Physical therapy (therapeutic exercise)
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 97110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97110
- Insurance Median: $39
- Cash Discount Price: $150
- vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Mount Sinai Rehabilitation Hospital Inc is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.34x the Medicare baseline. Located in 490 Blue Hills Ave, Hartford, CT.
Cash / Self-Pay
$150
Average discount available for prompt cash payment at this facility.
Insurance Median
$39
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: $150 (516%)
Insurance Median: $39 (134%)
Cash: $150 (516% of Medicare)
Ins. Median: $39 (134% 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
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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 |
|---|---|---|
| Aetna | $17 - $299 | 58% |
| Albany County Correctional Facility | $17 | 58% |
| Ambetter / Centene | $17 | 58% |
| Amish Mennonite | $17 | 58% |
| Ascension St. Vincent Public Safety Medical | $17 | 58% |
| Bcccp-Michigan | $17 | 58% |
| Bccp | $17 | 58% |
| Blue Cross Blue Shield | $17 - $293 | 58% |
| Bmc Healthnet | $17 | 58% |
| Breast Grant-Connecticut | $17 | 58% |
| Broward County Dept Of Health | $17 | 58% |
| California Health And Wellness | $17 | 58% |
| Can Community Health Inc | $17 | 58% |
| Cardinal Innovations Lme | $17 | 58% |
| Care Connections Of Northern Iowa | $17 | 58% |
| Care Oregon Ohp | $17 | 58% |
| Cencal Health Plan | $17 | 58% |
| Cenpatico | $17 | 58% |
| Chhuny | $17 | 58% |
| Childrens Comm Health Plan | $17 | 58% |
| Childrens Medical Services Title 19 | $17 | 58% |
| Cigna | $17 - $253 | 58% |
| City Of Philadelphia | $17 | 58% |
| Cmh Allegan County | $17 | 58% |
| Cmh Ausable Valley | $17 | 58% |
| Cmh Barry County | $17 | 58% |
| Cmh Bay-Arenac County | $17 | 58% |
| Cmh Berrien County | $17 | 58% |
| Cmh Cass County | $17 | 58% |
| Cmh Central Mi County | $17 | 58% |
| Cmh Clinton-Eaton-Ingham County | $17 | 58% |
| Cmh Detroit Wayne Integrated Health Network | $17 | 58% |
| Cmh Genesee County | $17 | 58% |
| Cmh Ionia County | $17 | 58% |
| Cmh Jackson County/Lifeways | $17 | 58% |
| Cmh Kalamazoo | $17 | 58% |
| Cmh Kent County | $17 | 58% |
| Cmh Lenawee County | $17 | 58% |
| Cmh Livingston County | $17 | 58% |
| Cmh Macomb | $17 | 58% |
| Cmh Misc | $17 | 58% |
| Cmh Monroe County | $17 | 58% |
| Cmh Montcalm County | $17 | 58% |
| Cmh Muskegon County | $17 | 58% |
| Cmh Newaygo County | $17 | 58% |
| Cmh North Country | $17 | 58% |
| Cmh Northern Lakes County | $17 | 58% |
| Cmh Oakland County | $17 | 58% |
| Cmh Ottawa County | $17 | 58% |
| Cmh Van Buren County | $17 | 58% |
| Cmh Washtenaw County | $17 | 58% |
| Cmh Wayne County/Carelink | $17 | 58% |
| Cmh Wayne Cty/Com Liv Svcs | $17 | 58% |
| Cmh West Mi County | $17 | 58% |
| Community Benefit Health | $17 | 58% |
| Community Care Behavorial Health | $17 | 58% |
| Community Care Partners | $17 | 58% |
| Community Health Choice | $17 | 58% |
| Connections Csp | $17 | 58% |
| County Coroner | $17 | 58% |
| County Funding Generic | $17 | 58% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $17 | 58% |
| Dean Wi Badgercare | $17 | 58% |
| Delaware County Department Of Health | $17 | 58% |
| Delaware First Health | $17 | 58% |
| Dph Tb Program | $17 | 58% |
| Dscc | $17 | 58% |
| Eastpointe Lme | $17 | 58% |
| Family Health Network | $17 | 58% |
| Freedom First Healthcare | $17 | 58% |
| Fresno County Ccs | $17 | 58% |
| Ghc Scw Wi Badgercare | $17 | 58% |
| Harbor Health | $17 | 58% |
| Health Safety Net | $17 | 58% |
| Healthy Blue Ne | $17 | 58% |
| Hennepin Health | $17 | 58% |
| Humana | $17 - $25 | 58% |
| Id County Ada | $17 | 58% |
| Id County Canyon | $17 | 58% |
| Id County Cat Fund | $17 | 58% |
| Id County Other | $17 | 58% |
| Id County Payette | $17 | 58% |
| Idaho Dept Health And Wellfare | $17 | 58% |
| Idaho Womens Health Check | $17 | 58% |
| Indiana Breast Cervical Cancer | $17 | 58% |
| Inland Empire Health Plan | $17 | 58% |
| Intercommunity Health Ohp | $17 | 58% |
| Iowa Total Care | $17 | 58% |
| Jai Medical System | $17 | 58% |
| Kern Family Health Plan | $17 | 58% |
| Keystone First | $17 | 58% |
| Keystone First Chip | $17 | 58% |
| La Care Health Plan | $17 | 58% |
| Lakeland Care Inc | $17 | 58% |
| Managed Health Services - Indiana | $17 | 58% |
| Maryland Breast & Cervical Program | $17 | 58% |
| Maryland Healthy Smiles - Scion Dental | $17 | 58% |
| Maryland Physicians Care | $17 | 58% |
| Massachusetts Behavioral Health Partnership | $17 | 58% |
| Mdwise | $17 | 58% |
| Medi-Cal | $17 | 58% |
| Medi-Cal Healthnet | $17 | 58% |
| Medicaid / KanCare | $17 - $92 | 58% |
| Medstar Dc Healthy Family | $17 | 58% |
| Medstar Md Health Choice | $17 | 58% |
| Mo Home State Health Plan | $17 | 58% |
| Molina Centennial Care | $17 | 58% |
| Nascentia Health Options | $17 | 58% |
| Nebraska Total Care | $17 | 58% |
| New York Cancer Services Program | $17 | 58% |
| Nextlevel Health | $17 | 58% |
| Oregon Screenwise | $17 | 58% |
| Pace Of Southwest Michigan | $17 - $25 | 58% |
| Paramount Advantage | $17 | 58% |
| Parkland Community Health Plan | $17 | 58% |
| Partners Behavioral Lme | $17 | 58% |
| Peach State Healthplan | $17 | 58% |
| Philadelphia County Funding | $17 | 58% |
| Presbyterian Centennial Care | $17 | 58% |
| Prestige Health Choice | $17 | 58% |
| Priority Partners | $17 | 58% |
| Robert F Sing Program | $17 | 58% |
| Rx 340B Pass Along | $17 | 58% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $17 | 58% |
| Rx Medi-Cal | $17 | 58% |
| Rx Meridian Rx | $17 | 58% |
| Ryan White Florida Mssrp | $17 | 58% |
| Sandhills Center Lme | $17 | 58% |
| Screening For Life | $17 | 58% |
| St Joseph County Hlth Dpt | $17 | 58% |
| Stephenson Cty Health | $17 | 58% |
| Sunshine State Health Plan | $17 | 58% |
| Superior Health | $17 | 58% |
| Tenncare | $17 | 58% |
| Texas Children'S Health Plan | $17 | 58% |
| Trillium Community Ohp | $17 | 58% |
| Tufts Health Public Plans | $17 | 58% |
| UnitedHealthcare | $17 - $224 | 58% |
| Vaya Health Lme | $17 | 58% |
| Washtenaw Health Plan | $17 | 58% |
| Wellsense Health Plan | $17 | 58% |
| Wi Womens Wellness | $17 | 58% |
| Align Senior Care | $25 | 86% |
| Ally Align Care Adv | $25 | 86% |
| American Health Advantage Of Idaho | $25 | 86% |
| American Health Plan | $25 | 86% |
| Aurora Special Needs | $25 | 86% |
| Blue Care Network Advantage | $25 | 86% |
| Blue Shield - De (Highmark) Medciare Advantage | $25 | 86% |
| Care Dimensions | $25 | 86% |
| Care Improvement Plus | $25 | 86% |
| Care Resources Pace | $25 | 86% |
| Careplus Health Plans | $25 | 86% |
| Cca - Zing Health | $25 | 86% |
| Central Valley Medical Services Corp Pace | $25 | 86% |
| Champion Health Plan Mcr Advantage | $25 | 86% |
| Champva | $25 | 86% |
| Clear Spring Health | $25 | 86% |
| Clover Health | $25 | 86% |
| Commonwealth Care Alliance | $25 - $31 | 86% |
| Community Pace At Home | $25 | 86% |
| Eddy Senior Care-Pace | $25 | 86% |
| Eddy Seniorcare Pace | $25 | 86% |
| Elementcare | $25 | 86% |
| Evercare | $25 | 86% |
| Everence | $25 | 86% |
| Gateway Health Plan | $25 | 86% |
| Genesys Pace Of Genesee County | $25 | 86% |
| Georgia Health Advantage | $25 | 86% |
| Gold Advantage | $25 | 86% |
| Gpa Croell Redi Mix | $25 | 86% |
| Health America Advantra | $25 | 86% |
| Highmark Health Options Dual Plan | $25 | 86% |
| Hope Select Pace | $25 | 86% |
| Horizon Nj Total Care | $25 | 86% |
| Hudson Headwaters Pace | $25 | 86% |
| Huron Valley Pace | $25 | 86% |
| Innovative Integrated Health Community Plans | $25 | 86% |
| Iowa Health Advantage | $25 | 86% |
| Johns Hopkins Advantage Md | $25 | 86% |
| Lasso Healthcare Msa | $25 | 86% |
| Life St Marys Pace | $25 | 86% |
| Lifecircles Pace | $25 | 86% |
| Longevity Health Plan | $25 | 86% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $25 | 86% |
| Martins Point Generations Advantage | $25 | 86% |
| Mass General Brigham Mcr Adv | $25 | 86% |
| Medicare (plans) | $25 - $79 | 86% |
| Medipak Advantage | $25 | 86% |
| Mercy Life | $25 | 86% |
| Mercyone Cedar Valley | $25 | 86% |
| Meridian Complete | $25 | 86% |
| Michigan Complete Health | $25 | 86% |
| Nascentia Health Plus | $25 | 86% |
| New Centry Health Careplus | $25 | 86% |
| Osu Prime Care Advantage | $25 | 86% |
| Pace Cny | $25 | 86% |
| Pace Iowa Immanuel Pathways | $25 | 86% |
| Pace Southeast | $25 | 86% |
| Pace-Trinity Health | $25 | 86% |
| Peak Pace Solutions | $25 | 86% |
| Perennial Advantage | $25 | 86% |
| Preferred Care Partners | $25 | 86% |
| Presbyterian Senior Plan | $25 | 86% |
| Provider Partners Health Plan Of Illinois | $25 | 86% |
| Provider Partners Health Plan Of Indiana | $25 | 86% |
| Pruitthealth Premier | $25 | 86% |
| Reliance Community Care Partners Care Resources Pace | $25 | 86% |
| Rx Allwin | $25 | 86% |
| Rx Grane Grnmedd | $25 | 86% |
| Rx Retiree Rx Care | $25 | 86% |
| Scan Health Plan Mcr Ipa Meritage Oon | $25 | 86% |
| Secure Horizons Ma Pffs | $25 | 86% |
| Serenity Pace | $25 | 86% |
| Siouxland Pace | $25 | 86% |
| Solis Health Plans | $25 | 86% |
| Sunnyview-Pace Finance Dept | $25 | 86% |
| Texan Plus | $25 | 86% |
| The Health Plan | $25 | 86% |
| Thome Pace | $25 | 86% |
| Todays Options | $25 | 86% |
| Tribute Health Plans | $25 | 86% |
| Tricare | $25 | 86% |
| Triwest Health Alliance | $25 | 86% |
| Um Health Advantage | $25 | 86% |
| Union Health Service | $25 | 86% |
| Veterans Eval Services | $25 | 86% |
| Welbe Health | $25 | 86% |
| Wellmed | $25 | 86% |
| Veterans Administration | $26 | 89% |
| Health New England | $28 - $144 | 96% |
| Cca Senior Care Options | $30 - $31 | 103% |
| Fallon Health | $39 - $65 | 134% |
| Andrie Inc | $42 | 145% |
| East Greenbush Central School District | $42 | 145% |
| Genex Wc | $42 | 145% |
| Healthsmart Workers Comp | $42 | 145% |
| Jag Source | $42 | 145% |
| New York State Insurance Fund | $42 | 145% |
| Njm Insurance Group | $42 | 145% |
| Rx Heatlhcomp | $42 | 145% |
| Rx Restat | $42 | 145% |
| Rx Saif Opdp Wc | $42 | 145% |
| Rx Worker'S Comp | $42 | 145% |
| Wc Accident Fund | $42 | 145% |
| Wc Ace | $42 | 145% |
| Wc Acs Federal Employees | $42 | 145% |
| Wc Acuity | $42 | 145% |
| Wc Advantage | $42 | 145% |
| Wc Aegis | $42 | 145% |
| Wc Aig | $42 | 145% |
| Wc Aims | $42 | 145% |
| Wc Alaska National Ins | $42 | 145% |
| Wc Align Network | $42 | 145% |
| Wc Allied | $42 | 145% |
| Wc Am Trust N America | $42 | 145% |
| Wc American Claims Mgmt | $42 | 145% |
| Wc Amerisure | $42 | 145% |
| Wc Amtrust | $42 | 145% |
| Wc Asu Risk Mgt | $42 | 145% |
| Wc Benetech | $42 | 145% |
| Wc Berkley Admin | $42 | 145% |
| Wc Broadspire | $42 | 145% |
| Wc Broward County | $42 | 145% |
| Wc Bunch & Associates | $42 | 145% |
| Wc California State Comp Ins | $42 | 145% |
| Wc California State Ins Fund | $42 | 145% |
| Wc Capitol Area Health Consortium | $42 | 145% |
| Wc Ccmsi | $42 | 145% |
| Wc Chartis | $42 | 145% |
| Wc Chubb | $42 | 145% |
| Wc Cirma | $42 | 145% |
| Wc City Of Albany | $42 | 145% |
| Wc City Of Sioux City | $42 | 145% |
| Wc Claims Mgmt Inc | $42 | 145% |
| Wc Cna | $42 | 145% |
| Wc Comp One Admin C/O Manageability | $42 | 145% |
| Wc Compone Admin | $42 | 145% |
| Wc Ct Healthcare Trust | $42 | 145% |
| Wc Donegal Insurance Group | $42 | 145% |
| Wc Emc Insurance Company | $42 | 145% |
| Wc Employee Mutual | $42 | 145% |
| Wc Enablecomp | $42 | 145% |
| Wc Encore Health Network | $42 | 145% |
| Wc Erie | $42 | 145% |
| Wc Esis | $42 | 145% |
| Wc Evolutions | $42 | 145% |
| Wc Fcci | $42 | 145% |
| Wc Fed Ex | $42 | 145% |
| Wc Federal Black Lung | $42 | 145% |
| Wc Federated | $42 | 145% |
| Wc Finley Occupational Health | $42 | 145% |
| Wc First Agency/Occunet | $42 | 145% |
| Wc Ford Motor | $42 | 145% |
| Wc Fresno Unified Emp | $42 | 145% |
| Wc Gallagher Bassett | $42 | 145% |
| Wc General Motors | $42 | 145% |
| Wc Generic | $42 | 145% |
| Wc Genex Care For Ohio | $42 | 145% |
| Wc Great West Casualty | $42 | 145% |
| Wc Guarantee Insurance | $42 | 145% |
| Wc Guard Insurance Company | $42 | 145% |
| Wc Hab | $42 | 145% |
| Wc Hartford | $42 | 145% |
| Wc Hastings | $42 | 145% |
| Wc Health Management | $42 | 145% |
| Wc Heritage Summit | $42 | 145% |
| Wc Hireright | $42 | 145% |
| Wc Horizon | $42 | 145% |
| Wc Icw Group | $42 | 145% |
| Wc Idaho State Ins Fund | $42 | 145% |
| Wc Intercare Insurance | $42 | 145% |
| Wc Intermountain | $42 | 145% |
| Wc Johns Eastern | $42 | 145% |
| Wc Kemberton | $42 | 145% |
| Wc Key Ins & Benefit Solutions | $42 | 145% |
| Wc Liberty Mutual | $42 | 145% |
| Wc Mac Risk Management | $42 | 145% |
| Wc Massachusetts | $42 | 145% |
| Wc Mdia | $42 | 145% |
| Wc Meadowbrook Claim | $42 | 145% |
| Wc Medical Administrators | $42 | 145% |
| Wc Meijers | $42 | 145% |
| Wc Memic | $42 | 145% |
| Wc Mercy Workcare | $42 | 145% |
| Wc Michigan | $42 | 145% |
| Wc Michigan Millers Mutual | $42 | 145% |
| Wc Mitchell Frankenmuth | $42 | 145% |
| Wc Mra | $42 | 145% |
| Wc Nationwide | $42 | 145% |
| Wc Nca Comp | $42 | 145% |
| Wc New York | $42 | 145% |
| Wc New York Special Funds | $42 | 145% |
| Wc North American Rishces | $42 | 145% |
| Wc Northeast Health | $42 | 145% |
| Wc Notre Dame | $42 | 145% |
| Wc Novanet | $42 | 145% |
| Wc O'Hara Corp | $42 | 145% |
| Wc Occ Health Allen | $42 | 145% |
| Wc Ohio Bureau | $42 | 145% |
| Wc One Call Medical | $42 | 145% |
| Wc Paradigm | $42 | 145% |
| Wc Peerless | $42 | 145% |
| Wc Pma | $42 | 145% |
| Wc Praxis Health Network | $42 | 145% |
| Wc Price Chopper | $42 | 145% |
| Wc Procura Management | $42 | 145% |
| Wc Qualcare | $42 | 145% |
| Wc Quiktrip | $42 | 145% |
| Wc Reny Company | $42 | 145% |
| Wc Rev Claims | $42 | 145% |
| Wc Risico | $42 | 145% |
| Wc Rural Mutual | $42 | 145% |
| Wc Saif Oregon | $42 | 145% |
| Wc Secura | $42 | 145% |
| Wc Sedgwick | $42 | 145% |
| Wc Sentry | $42 | 145% |
| Wc Sheakley Unicomp | $42 | 145% |
| Wc Smile Lodge | $42 | 145% |
| Wc Society | $42 | 145% |
| Wc Srs | $42 | 145% |
| Wc Taconic (Mro) | $42 | 145% |
| Wc Taconic Farms | $42 | 145% |
| Wc Travelers | $42 | 145% |
| Wc Triad Group | $42 | 145% |
| Wc Tristar | $42 | 145% |
| Wc Troy Ny | $42 | 145% |
| Wc Tyson | $42 | 145% |
| Wc Unified Health Services | $42 | 145% |
| Wc United Heartland | $42 | 145% |
| Wc Us Dept Of Labor | $42 | 145% |
| Wc Velocity | $42 | 145% |
| Wc Walmart | $42 | 145% |
| Wc West Bend | $42 | 145% |
| Wc West Bend Mutual/Argent | $42 | 145% |
| Wc Winnebago Industries | $42 | 145% |
| Wc Yankee Trails | $42 | 145% |
| Wc York Risk | $42 | 145% |
| Wc Zenith | $42 | 145% |
| Wc Zurich | $42 | 145% |
| Claimdoc | $45 - $64 | 155% |
| Innovative Health Plan Ii | $45 - $64 | 155% |
| Mass General Brigham Health Plan | $45 - $66 | 155% |
| Multiplan | $46 - $185 | 158% |
| Unicare | $50 - $293 | 172% |
| Wellpoint | $50 | 172% |
| Healthscope | $54 | 186% |
| Allegiance | $57 - $253 | 196% |
| Prime Health Services | $62 - $218 | 213% |
| Diversified Administrators | $64 | 220% |
| Tufts Health Plan | $65 | 224% |
| Us Family Health Plan | $65 | 224% |
| Coventry | $66 | 227% |
| First Health | $66 | 227% |
| Guardian | $66 | 227% |
| Harvard Pilgrim Healthcare | $66 - $224 | 227% |
| Meritain | $66 - $299 | 227% |
| Centivo | $70 | 241% |
| Health Smart | $78 - $231 | 268% |
| Wc Corvel | $78 | 268% |
| Connecticare | $82 - $402 | 282% |
| Delta Dental Ga | $92 | 317% |
| Delta Dental Mi | $92 | 317% |
| Delta Dental Mo | $92 | 317% |
| Delta Dental Nj | $92 | 317% |
| Delta Dental Ny | $92 | 317% |
| Delta Dental Oh | $92 | 317% |
| Delta Dental Or | $92 | 317% |
| Delta Dental Pa | $92 | 317% |
| Delta Dental Va | $92 | 317% |
| Delta Dental Wa | $92 | 317% |
| Liberty Dental | $92 | 317% |
| Connecticut Dept Of Correction | $118 | 406% |
| Health Partners | $127 - $253 | 437% |
| Magnacare | $127 - $253 | 437% |
| Bcn Domestic | $146 - $293 | 502% |
| Blue Benefit Administrators Of Massachusetts | $146 - $293 | 502% |
| Blue Care Network | $146 - $293 | 502% |
| Blue Distinction Transplant | $146 - $293 | 502% |
| Blue Shield - Ca | $146 - $293 | 502% |
| Blue Shield - Id (Regence) | $146 - $293 | 502% |
| Blue Shield - Ny Highmark Northeastern | $146 - $293 | 502% |
| Blue Shield - Ny Highmark Western | $146 - $293 | 502% |
| Blue Shield - Pa (Highmark) | $146 - $293 | 502% |
| Blue Shield - Wa (Regence) | $146 - $293 | 502% |
| Health Choices | $146 - $293 | 502% |
| Kaiser Domestic | $146 - $293 | 502% |
| Pre-Employment | $146 - $293 | 502% |
| Wc Domestic | $146 - $293 | 502% |
| Allied National Global Care | $185 | 637% |
| Asrm - Reliance Standard Life Insurance | $185 | 637% |
| Christian Care Ministry | $185 | 637% |
| Dean Health | $185 | 637% |
| Family Life Insurance Company | $185 | 637% |
| Ghc Scw | $185 | 637% |
| International Benefit Administrators | $185 | 637% |
| Lifetime Benefit Solutions | $185 | 637% |
| Manhattan Life | $185 | 637% |
| Medi Share | $185 | 637% |
| Mvp | $185 | 637% |
| Pai | $185 | 637% |
| Pan-American Life | $185 | 637% |
| Paramount Hmo | $185 | 637% |
| Phcs | $185 | 637% |
| Trinity Health Share | $185 | 637% |
| Geha | $224 | 771% |
| 1199 National Benefit Fund | $299 | 1029% |
| Allied Benefit Systems | $299 | 1029% |
| Gravie Admin Services | $299 | 1029% |
| Hap | $299 | 1029% |
| Luminare Health | $299 | 1029% |
| Nippon Life Ins | $299 | 1029% |
| Webtpa | $299 | 1029% |