Physical therapy (therapeutic exercise)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $28
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.96x 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 |
|---|---|---|
| Humana | $27 | 93% |
| Va | $27 | 93% |
| Saint Lukes Health Systems | $27 | 93% |
| Vc Hope | $27 | 93% |
| Via Christi Research | $27 | 93% |
| Medicare (plans) | $27 - $28 | 93% |
| UnitedHealthcare | $28 - $77 | 96% |
| Blue Cross Blue Shield | $28 | 96% |
| Corizon | $34 | 117% |
| Smarthealth | $38 | 131% |
| Medicaid / KanCare | $46 | 158% |
| Coventry City Of Wichita | $73 | 251% |
| Mdsave | $75 | 258% |
| Aetna | $93 | 320% |
Consumer Guidance & Cost Commentary
For CPT code 97110, representing therapeutic exercise in physical therapy, the negotiated rates at Ascension Via Christi Hospitals Wichita range from $27 to $93 across 14 payers, with a median negotiated amount of $28.00. This facility is located in Wichita, Kansas, and its pricing aligns closely with the state average, as indicated by a Medicare benchmarking ratio of 1.0. While commercial plans like UnitedHealthcare show a wider spread between their low and high negotiated rates ($28 to $77), the facility's median rate remains consistent with the broader market. For patients with high-deductible plans, it is important to note that cash-pay rates can sometimes be more economical than insurance negotiated rates if the insurer's allowed amount exceeds the cash price, though specific cash rates are not available for this service.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency services at in-network facilities, unexpected ancillary services or out-of-network providers could still result in additional charges. To avoid surprise bills, consumers should request a full itemized CPT-coded bill before making any payments, as summary invoices may obscure individual line items or unbundled charges. Additionally, facilities often offer prompt-pay discounts for upfront cash payments, which can bypass administrative fees and reduce the final cost. We strongly recommend contacting the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling, as these rates are frequently lower than the standard insurance negotiated amounts listed above.