Physical therapy (therapeutic exercise)
Facility: Labette Health
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $37
- Cash Discount Price: $89
- vs. Medicare Baseline: 1.27x 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.
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 |
|---|---|---|
| Uhccp | $20 | 69% |
| Medicaid / KanCare | $28 - $57 | 96% |
| Healthy Blue | $29 | 100% |
| Ambetter / Centene | $32 - $43 | 110% |
| Blue Cross Blue Shield | $37 - $57 | 127% |
| Wellcare | $37 | 127% |
| UnitedHealthcare | $37 - $110 | 127% |
| Humana | $37 | 127% |
| Montgomery County | $42 | 145% |
| Multiplan | $107 | 368% |
| Health Partners Of Kansas, Inc | $114 | 392% |
| Choicecare (First Health Network) | $114 | 392% |
Consumer Guidance & Cost Commentary
For the CPT code 97110, representing physical therapy (therapeutic exercise), Labette Health in Parsons, KS, lists a cash median price of $89.00, which is notably higher than the state average of $29.06. While commercial insurance plans negotiate rates ranging from $20 to $114 depending on the carrier, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds $89.00. It is important to note that cash-pay rates can sometimes be cheaper for self-pay patients, but facilities often offer additional "self-pay" or "prompt-pay" discounts for upfront billing, which should be requested before scheduling services to ensure the lowest possible out-of-pocket cost.
The facility's pricing structure is anchored by a Medicare benchmark of $29.06, which serves as the objective baseline for evaluating commercial markups. Commercial negotiated rates for this service average significantly higher than the Medicare rate, reflecting the administrative costs and contract dynamics inherent in insurance billing. To avoid unexpected costs, consumers should request a full itemized CPT-coded bill rather than accepting summary invoices, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If a balance bill arises from an out-of-network service, patients should verify its legality under the No Surprises Act and dispute the charge in writing with the insurer rather than paying immediately to protect their financial interests.