CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: The Women's Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $37
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at The Women's Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.27x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $73 (251%)
Insurance Median: $37 (127%)
Cash: $73 (251% of Medicare)
Ins. Median: $37 (127% 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 $19 - $83 65%
Blue Cross Blue Shield $19 - $140 65%
Meridian Health Il $19 - $28 65%
Molina Il $19 - $28 65%
Humana $21 - $29 72%
Passport Molina Ky $21 - $29 72%
UnitedHealthcare $21 - $100 72%
Wellcare Ky $21 - $29 72%
Amish $23 79%
Self Pay $23 - $73 79%
Caresource $28 96%
Caresource Hip $28 96%
Caresource In $28 96%
Iu Health $28 - $62 96%
Mdwise Hip $28 96%
Mhs $28 96%
Mhs Behavioral $28 96%
Molina Ky $28 96%
Molina Ky Dual $28 96%
Alliance Coal $29 - $86 100%
Ambetter / Centene $32 - $74 110%
Immergrun $33 - $52 114%
Caresource Marketplace (Just4Me) $36 124%
Encorecombined $36 - $87 124%
Encoreprime $36 - $85 124%
Patoka Valley Health Care (80/20 Plan) $36 - $77 124%
Patoka Valley Health Care (90/10 Plan) $36 - $75 124%
Hst $37 127%
Allied National/Zelis - Freedom Plan $39 134%
Center Care $39 - $97 134%
Claimdoc $40 138%
Chamber Care $41 - $87 141%
One Care $41 - $87 141%
Hope Trust $44 151%
Noncontracted $44 151%
Cigna $49 - $90 169%
Claritev (Formerly Phcs/Mulitplan) $49 - $86 169%
First Health/Coventry $49 - $92 169%
Healthlink $49 - $106 169%
Sagamore $49 - $90 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals