CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Southern Regional Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $30
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Southern Regional Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.03x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$29

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: $29 (100%)
Insurance Median: $30 (103%)
Cash: $29 (100% 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 $20 - $29 69%
Humana $28 - $58 96%
Americas Choice Provider Network $29 100%
Blue Cross Blue Shield $29 - $177 100%
Cigna $29 - $50 100%
Clear Spring Health Plan $29 100%
Corvel $29 100%
Georgia Workers’ Compensation $29 100%
Medicare (plans) $29 100%
Multiplan $29 100%
Novanet $29 100%
Prime Health Services $29 100%
Provider Select $29 100%
Riverwood Behavioral Health $29 - $37 100%
Three Rivers $29 100%
Tricare $29 100%
UnitedHealthcare $29 100%
Caresource $30 - $51 103%
Devoted Health $30 103%
Peach State $30 - $35 103%
Sonder Health Plan $31 107%
Wellcare $31 107%
Oscar Health Plan $38 131%
Employer Direct Healthcare $41 141%
Centurion $44 151%
Naphcare $46 158%
Therapy Network Of Ga $251 864%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals