Physical therapy (therapeutic exercise)
Facility: Salina Regional Health Center
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $63
- Cash Discount Price: $69
- vs. Medicare Baseline: 2.17x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 217% of the Medicare baseline (a markup of 117%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Preferred Phsic | $39 - $81 | 134% |
| Blue Cross Blue Shield | $52 - $55 | 179% |
| Preferred Healthcare - All Other Plans | $53 - $109 | 182% |
| Providers Care (Wppa)-All Plans | $58 - $122 | 200% |
| Aetna | $58 - $122 | 200% |
| Multiplan (Mpi)-All Plans | $58 - $122 | 200% |
| Cigna | $58 - $122 | 200% |
Consumer Guidance & Cost Commentary
For the CPT code 97110, representing therapeutic exercise at Salina Regional Health Center in Salina, Kansas, the facility's cash median rate is $69.00, which is lower than the negotiated rates paid by most major insurers in this region. While the facility's cash price is notably lower than the state average for this service, patients with high-deductible plans may find that paying out-of-pocket is more cost-effective than relying on insurance, as many commercial payers have negotiated rates exceeding $58.00 and can reach up to $122.00 depending on the specific plan. To secure the lowest possible price, patients should explicitly request self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill compared to standard insurance processing.
It is important to understand that commercial insurance rates often include administrative overhead and do not reflect the true cost of care, which is better represented by the Medicare benchmark of $29.06. Although the facility's negotiated rates are higher than the Medicare amount, they remain within a reasonable range compared to the broader market, with the lowest negotiated rate among payers being $39.00. Consumers should avoid accepting summary bills that obscure individual charges, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If a balance bill or unexpected charge arises, patients should first verify their network status and then formally request an itemized audit to identify and correct any billing inaccuracies before making a payment.