CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Jeff Davis Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $55
Cash Discount Price: $26
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Jeff Davis Hospital is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.89x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$26

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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: $26 (89%)

Insurance Median: $55 (189%)

Cash: $26 (89% of Medicare)

Ins. Median: $55 (189% 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
Medicaid / KanCare	$14 - $39	48%
Humana	$15 - $62	52%
Peach_State	$15	52%
Wellcare	$15	52%
Blue Cross Blue Shield	$23 - $55	79%
Care_Improvement_Plus	$23	79%
Medicare (plans)	$23	79%
Pen_Network	$43	148%
Coventry_Hmo	$51	175%
Coventry_Pos	$51	175%
Uhc_Hmo	$55	189%
Uhc_Indemnity	$55	189%
Uhc_Ppo	$55	189%
Coventry_Ppo	$56	193%
Beech_Street	$58	200%
Care_Source	$58	200%
Cigna	$58	200%
One_Health_Ppo	$58	200%
Choicecare	$62	213%
Community_Care_Network	$62	213%
Georgia_Hospital_Network	$62	213%
Industry_Buying_Group	$62	213%
Novanet	$62	213%
Principal_Health_Care_Of_Georgia	$62	213%
Three_Rivers_Provider_Network	$62	213%
Usa_Managed_Care	$62	213%
Memorial_Health_Partners	$66	227%
Tricare	$68	234%
Multiplan	$69	237%

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 $26.
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 Jeff Davis Hospital 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.