Physical therapy (therapeutic exercise)
Facility: Kearny County Hospital
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $297
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 10.22x 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 1022% of the Medicare baseline (a markup of 922%). 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 | $99 - $396 | 341% |
| One Call | $99 | 341% |
| Aetna | $198 | 681% |
| UnitedHealthcare | $198 - $396 | 681% |
| Paradigm | $198 | 681% |
| Community Care Health Plan Of | $297 | 1022% |
| Kansas Solutions | $297 | 1022% |
| Cigna | $396 | 1363% |
| Humana | $396 | 1363% |
| Wps Gha - Mac J5 Part A | $396 | 1363% |
Consumer Guidance & Cost Commentary
For the Physical therapy (therapeutic exercise) service at Kearny County Hospital in Lakin, Kansas, the facility's negotiated rates range from $99 to $396 depending on the insurance plan, with a median negotiated amount of $297. This facility is a Critical Access Hospital owned by the local government, and while its negotiated rates are significantly higher than the Medicare benchmark of $29.06, they remain below the gross chargemaster price of $347. Patients should be aware that commercial insurance rates often include administrative overhead and contract premiums, which can make them higher than cash prices. In this case, the cash median is not available, but patients with high-deductible plans might find it beneficial to pay out-of-pocket if the facility offers a self-pay or prompt-pay discount, as these upfront payments can sometimes bypass the multi-layered administrative costs embedded in insurance billing.
When evaluating costs, it is important to compare these rates against the broader market context. The facility's negotiated rates, particularly at the high end of $396, are comparable to the maximum rates charged by several major payers including Cigna, Humana, and Wps Gha - Mac J5 Part A, which all cap their payments at $396 for this code. However, the median negotiated rate of $297 is notably higher than the state average for this service, suggesting that while the facility adheres to standard network tiers for many insurers, its overall pricing structure may be above the typical county or state average. To ensure you are receiving the best possible rate, we recommend contacting the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling your visit