CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Atrium Health Floyd Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $53
Cash Discount Price: $59
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Atrium Health Floyd Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.82x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $59 (203%)

Insurance Median: $53 (182%)

Cash: $59 (203% of Medicare)

Ins. Median: $53 (182% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerigroup	$20	69%
Caresource	$20 - $41	69%
Peach State Health Plan	$20	69%
Awc Networks	$23	79%
Oscar Health Plan	$23 - $41	79%
Aetna	$27 - $80	93%
Blue Cross Blue Shield	$27 - $88	93%
Cigna	$27 - $250	93%
Georgia Assurance	$27	93%
Humana	$27 - $77	93%
UnitedHealthcare	$27 - $88	93%
Clover	$28	96%
Wellcare	$28	96%
Alliant Health Plans	$41 - $47	141%
Ambetter / Centene	$41	141%
Beacon	$59	203%
Evernorth	$59	203%
Multiplan	$83	286%
Beech Street	$92	317%
Occunet	$100	344%
Private Health Care Systems	$100	344%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $59.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Floyd Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.