Physical therapy (therapeutic exercise)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $68
- Cash Discount Price: $23
- vs. Medicare Baseline: 2.34x 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 234% of the Medicare baseline (a markup of 134%). 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 |
|---|---|---|
| Ku Athletics [503200094] | $27 | 93% |
| Workers Comp [503999901] | $27 - $96 | 93% |
| Humana | $27 | 93% |
| UnitedHealthcare | $27 - $92 | 93% |
| Allwell [503200078] | $28 | 96% |
| Blue Cross Blue Shield | $28 | 96% |
| Medicare (plans) | $28 | 96% |
| Centurion [5032000966] | $36 | 124% |
| Ambetter / Centene | $40 | 138% |
| Wppa [503200056] | $47 | 162% |
| Alt Wppa [5032000964] | $47 | 162% |
| Meritain Health [503200039] | $47 - $68 | 162% |
| Alt Carelon Behavioral Health [503200905] | $56 | 193% |
| Alt Meritain Health [503999911] | $68 | 234% |
| First Health [5032000110] | $68 | 234% |
| Allied National [503999937] | $68 | 234% |
| Php [503200005] | $68 | 234% |
| Aetna | $68 | 234% |
| Aha-Healthcare Preferred [503200050] | $68 | 234% |
| 6 Degrees Health [503999050] | $68 | 234% |
| National Assn Letter Carriers [503200019] | $68 | 234% |
| Cigna | $68 - $90 | 234% |
| Correct Care Solutions [50311253] | $79 | 272% |
| Advanced Medical Pricing Solutions [503301513] | $82 | 282% |
| Occunet [503999930] | $90 | 310% |
| Fort Hays State Student Athletes [5032000960] | $90 | 310% |
| Geha [503200036] | $92 | 317% |
| Medica [503200074] | $92 | 317% |
| Usa Managed Care [503999030] | $102 | 351% |
| Hchsync Centrus Health Direct [503999916] | $130 - $150 | 447% |
Consumer Guidance & Cost Commentary
For the physical therapy service code 97110 at the University Of Ks Hlth System Great Bend Campus, the facility's cash price of $23.00 is significantly lower than the median negotiated rate of $68.00 and the gross charge of $113.00. While the facility's negotiated rates range from $27 to $150 across 30 different payers, the cash price remains the lowest option available. This pricing structure highlights a common scenario where paying out-of-pocket can be more cost-effective than using insurance, especially for patients with high deductibles or those who prefer to avoid administrative fees. The facility, located in Great Bend, KS (ZIP 67530), offers a self-pay rate that is notably lower than the state average for this procedure, making it an attractive option for patients seeking to minimize out-of-pocket costs.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it does not automatically eliminate all potential costs if a patient chooses to pay cash. To ensure they receive the best possible rate, individuals should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling any appointments, as these upfront payment incentives can further reduce the total amount owed. If a patient receives an itemized bill that includes unexpected charges or appears to be a summary rather than a detailed statement, they should request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected.