CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Terre Haute Regional Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $28
Cash Discount Price: $377
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Terre Haute Regional Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $377. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 0.96x the Medicare baseline. Located in 3901 S Seventh St, Terre Haute, IN.

Cash / Self-Pay

$377

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $377 (1297%)

Insurance Median: $28 (96%)

Cash: $377 (1297% of Medicare)

Ins. Median: $28 (96% 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
Blue Cross Blue Shield	$24 - $28	83%
Humana	$24 - $28	83%
In State Health (Bccp)	$24 - $28	83%
Mdwise Hoosier Alliance	$24 - $28	83%
United	$24 - $28	83%
United Behavioral Health	$24 - $28	83%
Vista Care Hospice	$24 - $28	83%
Centurion	$25 - $29	86%
American Health Plans	$26 - $30	89%
Ambulatory Care Solutions	$30 - $35	103%
Naphcare	$30 - $35	103%
American Correctional	$32 - $38	110%
Molina	$33 - $39	114%

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 $377.
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 Terre Haute Regional 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.