Physical therapy (therapeutic exercise)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $28
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Humana | $27 | 93% |
| Medicare (plans) | $27 - $28 | 93% |
| Va | $27 | 93% |
| Vc Hope | $27 | 93% |
| Blue Cross Blue Shield | $28 | 96% |
| UnitedHealthcare | $28 - $77 | 96% |
| Smarthealth | $38 | 131% |
| Medicaid / KanCare | $46 | 158% |
| Aetna | $70 - $93 | 241% |
| Coventry City Of Wichita | $73 | 251% |
Consumer Guidance & Cost Commentary
For the CPT code 97110, representing physical therapy (therapeutic exercise), the negotiated rates at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, range from $27 to $93 depending on the payer. The lowest negotiated rate is $27, which aligns with the rates charged by Humana, Medicare plans, and the Department of Veterans Affairs. However, the highest negotiated rate is $93, charged by Aetna, which is significantly higher than the facility's median negotiated rate of $28.00. It is important to note that cash-pay rates are not available for this service, meaning patients cannot utilize potential savings from self-pay discounts or prompt-pay programs that might otherwise reduce costs.
When evaluating pricing, it is crucial to compare these commercial rates against the Medicare benchmark, which serves as the objective baseline for "true cost." The Medicare amount for this procedure is $29.06, and the facility's negotiated rates generally fall within or slightly above this baseline, with some commercial payers charging up to 3.2 times the Medicare rate. Since cash prices are not listed, patients should not assume that paying out-of-pocket would be cheaper than using insurance; in this case, the lack of a cash option means the negotiated rate is the only available price point. Patients are advised to verify their specific plan's deductible status before scheduling, as the negotiated rate may not apply until that threshold is met.