Physical therapy (therapeutic exercise)
Facility: Cheyenne County Hospital
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $77
- Cash Discount Price: $81
- vs. Medicare Baseline: 2.65x 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 265% of the Medicare baseline (a markup of 165%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $49 | 169% |
| First Health - All Plans | $57 | 196% |
| Aetna | $58 - $77 | 200% |
| Tricare | $58 | 200% |
| UnitedHealthcare | $58 - $230 | 200% |
| Healthy Blue Mcr Adv | $58 | 200% |
| Choice Care - All Plans | $59 | 203% |
| Firstguard - All Plans | $65 | 224% |
| Wppa - All Plans | $73 | 251% |
| Cpm - All Plans | $77 | 265% |
| Preferred Hc - All Plans | $77 | 265% |
| Ppo Next - All Plans | $79 | 272% |
| Health Partners - All Plans | $79 | 272% |
| Unicare - All Plans | $79 | 272% |
| Integrated Hp - All Plans | $79 | 272% |
| Midlands Choice - All Plans | $79 | 272% |
| Childrens Mercy - All Plans | $81 | 279% |
| Healthy Blue Mcaid - All Other Plans | $81 | 279% |
| Healthwave Mcaid - All Plans | $81 | 279% |
| Providers Care-All Plans | $122 | 420% |
Consumer Guidance & Cost Commentary
For CPT code 97110, Physical therapy (therapeutic exercise), the cash price at Cheyenne County Hospital is $81.00, which matches the facility's negotiated rate for most payers and exceeds the state average of $73.00. While the facility is a Critical Access Hospital in St. Francis, KS, patients should be aware that cash payments can sometimes be more cost-effective than using insurance, particularly if your plan has a high deductible or if the insurance negotiated rate exceeds the cash price. Because commercial rates often include administrative overhead and contract markups, paying out-of-pocket directly may result in a lower total cost compared to the allowed amounts billed by insurers like UnitedHealthcare or Aetna, which range from $58 to $230 depending on the specific plan.
To ensure you are not overcharged, it is recommended to request a self-pay or prompt-pay discount before scheduling your visit, as these upfront payment incentives can significantly reduce the final bill by bypassing costly insurance billing cycles. If you do receive a bill, always demand a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal audit. Furthermore, if you are billed for services from out-of-network providers at this in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency care; in such cases, you should dispute any unexpected charges with your insurer rather than paying immediately.