CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Perry County Memorial Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $106
Cash Discount Price: $122
vs. Medicare Baseline: 3.65x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Perry County Memorial Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 3.65x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$122

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $122 (420%)

Insurance Median: $106 (365%)

Cash: $122 (420% of Medicare)

Ins. Median: $106 (365% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 365% of the Medicare baseline (a markup of 265%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Champus	$3 - $526	10%
Great West	$3 - $526	10%
Group Insurance	$3 - $526	10%
Guarantor Liable	$3 - $526	10%
Medicaid / KanCare	$3 - $526	10%
Ngs American, Inc	$3 - $526	10%
Patoka Valley	$3 - $526	10%
Pcmh Insurnace	$3 - $526	10%
Southwire	$3 - $526	10%
Tricare	$3 - $526	10%
Veterans Administration	$3 - $526	10%
Wausau Benefits	$3 - $526	10%
Bc 130	$8 - $420	28%
Medicare (plans)	$8 - $137	28%
Workers Compensation	$15 - $263	52%
Nsa	$18 - $325	62%
Secondary Insurance	$24 - $420	83%
UnitedHealthcare	$24 - $420	83%
Boilermakers Healthcare	$26 - $458	89%
Cigna	$26 - $458	89%
Operating Engineers	$26 - $447	89%
Sagxxxx	$26 - $458	89%

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 $122.
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 Perry County Memorial 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.