Physical therapy (therapeutic exercise)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $56
- Cash Discount Price: $108
- vs. Medicare Baseline: 1.93x 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 |
|---|---|---|
| Aetna | $21 - $28 | 72% |
| Home State Health Plan | $25 | 86% |
| Healthy Blue Missouri | $25 | 86% |
| United Community Of Missouri | $25 | 86% |
| United | $27 - $115 | 93% |
| Healthy Blue Kansas | $27 - $28 | 93% |
| Medicaid / KanCare | $27 - $81 | 93% |
| Ilumed Aco Reach | $27 | 93% |
| Blue Cross Blue Shield | $27 - $65 | 93% |
| Humana | $27 | 93% |
| Missouri Healthnet | $29 | 100% |
| Velocity | $33 - $81 | 114% |
| Prime Health Services | $36 - $92 | 124% |
| Americas Choice Provider Network | $75 | 258% |
| Provider Network Of America | $81 | 279% |
| Quiktrip Corporation | $81 | 279% |
| Usa Managed Care Organization | $81 | 279% |
| Multiplan-Phcs | $86 | 296% |
| Medincrease | $97 | 334% |
| Cigna | $104 | 358% |
| Providrs Care | $115 | 396% |
Consumer Guidance & Cost Commentary
For Physical therapy (therapeutic exercise) at the Rehabilitation Hospital Of Overland Park in Overland Park, KS, the cash price is $108.00, which matches the facility's median negotiated rate of $56.00 and the cash median. This cash price is significantly higher than the state average for this service, which is $29.06 (Medicare amount). While commercial insurance plans offer negotiated rates ranging from $21 to $115 depending on the carrier, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurance allowed amount exceeds $108.00. It is important to verify your specific plan's allowed amount before scheduling, as some in-network rates can be substantially higher than the cash price due to administrative costs and contract dynamics.
Patients should be aware that commercial insurance rates often include administrative overhead, making the cash price a useful benchmark for fair value. If you choose to use insurance, be cautious of balance billing, where the provider bills you for the difference between the full chargemaster rate and what your insurer pays, particularly if you are out-of-network. Although the No Surprises Act protects against balance billing for emergency care and non-emergency services at in-network facilities, unexpected charges can still occur for ancillary services. To minimize costs, always request a full itemized bill before paying, as summary bills may hide unbundled codes or services not rendered. Additionally, ask the hospital about prompt-pay discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the costly insurance claims process.