Physical therapy (therapeutic exercise)
Facility: Goodland Regional Medical Center
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $79
- Cash Discount Price: $84
- vs. Medicare Baseline: 2.72x 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 272% of the Medicare baseline (a markup of 172%). 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% |
| Wppa | $75 - $88 | 258% |
| UnitedHealthcare | $79 - $88 | 272% |
Consumer Guidance & Cost Commentary
For this physical therapy session at Goodland Regional Medical Center, the cash price of $84.00 is notably higher than the facility's negotiated rate of $79.00, which represents the maximum amount commercial insurers like Blue Cross Blue Shield, Wppa, and UnitedHealthcare are contractually allowed to pay. While the facility's negotiated rate is lower than the gross charge of $93.00, it is important to note that commercial rates often include administrative overhead and do not reflect the true cost of care. In this specific case, the cash price is still higher than the Medicare benchmark of $29.06, indicating a significant markup relative to the federal baseline. Patients with high-deductible plans should consider that paying the cash price of $84.00 upfront might be more cost-effective than relying on insurance, especially if their deductible has not yet been met or if the insurer's negotiated rate exceeds the cash price after adjustments.
Goodland Regional Medical Center is a Critical Access Hospital in Kansas with a facility rating of 2, and the data reflects pricing for the 2026-06 vintage. Although specific county or state average comparisons for this CPT code are not provided in the available data, patients are encouraged to verify their specific plan's allowed amount before scheduling to ensure they are aware of the exact out-of-pocket costs. To potentially lower the final bill, patients should ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if paid in full within a short window. Additionally, since the facility is government-owned locally, patients should request an itemized bill to review