CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Gibson General Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $51
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Gibson General Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.75x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $84 (289%)
Insurance Median: $51 (175%)
Cash: $84 (289% of Medicare)
Ins. Median: $51 (175% 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
Blue Cross Blue Shield $19 - $77 65%
Medicaid / KanCare $19 65%
Meridiancare (Il) $19 - $51 65%
Meridianhealth (Il) $19 65%
Ky Racing Health & Welfare Fund $23 - $86 79%
Self-Pay $23 - $84 79%
UnitedHealthcare $25 - $111 86%
Aetna $28 - $124 96%
Alliance Coal $28 - $40 96%
Caresource $28 96%
Caresource Just For Me $28 - $51 96%
Mdwise Plans $28 96%
Medicare (plans) $28 - $51 96%
Meridiancomplete (Il) $28 - $51 96%
Mhs $28 96%
Mytruadvantage $28 - $51 96%
Va Ccn $28 - $51 96%
Ambetter / Centene $34 - $51 117%
Caresource In Marketplace $36 - $41 124%
Encircle/Encore Combined $36 - $135 124%
Encircle/Encore Prime $36 - $119 124%
Chambercare $39 - $127 134%
Claimdoc $39 - $135 134%
Deaconess Onecare $41 - $132 141%
Hopetrust $41 - $135 141%
Hstechnology $41 - $135 141%
Noncontracted $44 - $81 151%
Cigna $49 - $140 169%
First Health $49 - $143 169%
Healthlink Hmo $49 - $143 169%
Healthlink Ppo $49 - $143 169%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $49 - $140 169%
Gibson County Sheriff $55 - $135 189%
Integrated Health $58 - $143 200%
Principal Health Care $58 - $143 200%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1808 Sherman Drive, Princeton, IN 47670
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals