Physical therapy (therapeutic exercise)
Facility: Kansas Medical Center Llc
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $28
- Cash Discount Price: $47
- 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 |
|---|---|---|
| Tricare | $25 | 86% |
| Indian Health | $25 | 86% |
| Ambetter / Centene | $28 | 96% |
| Medicaid / KanCare | $28 | 96% |
| Humana | $28 | 96% |
| Medadv_Wellcare | $28 | 96% |
| Blue Cross Blue Shield | $28 - $54 | 96% |
| Wppa | $31 | 107% |
| Three_Rivers | $55 | 189% |
| Aetna | $62 | 213% |
| United | $78 | 268% |
Consumer Guidance & Cost Commentary
For this physical therapy session at Kansas Medical Center Llc in Andover, the cash price is $47.00, which is lower than the facility's negotiated rates with most major payers. While the facility's cash rate is below the state average of $52.00, patients with high-deductible plans may find paying out-of-pocket or using a prompt-pay discount more cost-effective than relying on insurance, as many commercial payers negotiate rates significantly higher than the cash price. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated amount could result in a higher out-of-pocket expense if your deductible has not yet been met.
The data indicates that this facility's cash rate is also lower than the national Medicare benchmark of $29.06, suggesting a competitive pricing structure relative to federal standards. However, because the facility is an acute care hospital, patients should be aware of potential balance billing risks if they receive out-of-network services, such as certain laboratory tests or emergency physician visits, even if the primary therapy is covered. To avoid unexpected charges, patients should request a full itemized bill before paying and dispute any errors, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit. Additionally, asking for a "self-pay" or "prompt-pay" discount at registration can often reduce the final cost further, bypassing the administrative overhead associated with insurance claims processing.