Physical therapy (therapeutic exercise)
Facility: Meade District Hospital
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $65
- Cash Discount Price: $79
- vs. Medicare Baseline: 2.24x 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 224% of the Medicare baseline (a markup of 124%). 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 | $65 | 224% |
Consumer Guidance & Cost Commentary
For this physical therapy session at Meade District Hospital in Meade, Kansas, the cash price is $79.00, which matches the facility's cash median. While the hospital is a Critical Access Hospital owned by the Government - Hospital District or Authority, patients with high-deductible plans may find paying cash directly more affordable than using insurance, as the negotiated rate of $65.00 is lower than the cash price but still subject to deductibles and co-pays. It is important to note that commercial insurance rates often include administrative overhead, making the cash price a useful benchmark for self-pay patients who wish to avoid potential balance billing or deductible expenses.
The Medicare benchmark for this service is $29.06, indicating that the cash price represents a significant markup above the federal government's cost-based rate. Although the data does not provide specific state or county average comparisons for this code, the facility's negotiated rate of $65.00 reflects the contractual agreement with Blue Cross Blue Shield, the only payer listed for this vintage. Consumers are encouraged to verify their specific plan details before scheduling, as in-network rates can vary significantly between facilities, and to explicitly ask about prompt-pay discounts or self-pay rates prior to receiving care to ensure they are paying the lowest possible amount.