CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Jay Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $45
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Jay Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.55x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $17 (58%)
Insurance Median: $45 (155%)
Cash: $17 (58% of Medicare)
Ins. Median: $45 (155% 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
Wellcare $8 - $29 28%
Aetna $20 - $62 69%
Bc Fl $20 - $29 69%
Humana $20 - $38 69%
UnitedHealthcare $20 - $223 69%
Cha Health Plan $23 79%
Simply Healthcare Healthy Kids $23 79%
Staywell $24 83%
Sunshine Health $24 83%
Fl Community Care Ltc $37 127%
Medicare (plans) $39 134%
Hospice Emerald Coast $45 - $65 155%
Hospice Regency $45 - $65 155%
Hospice Vitas $45 - $65 155%
Cigna $50 - $130 172%
Private Healthcare $58 - $84 200%
First Health $64 - $92 220%
Wc Corvel $64 - $124 220%
Fl Blue $78 - $293 268%
Multiplan $80 - $116 275%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals