CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Deaconess Henderson Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $49
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Deaconess Henderson Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.69x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)
Cash / Self-Pay: $60 (206%)
Insurance Median: $49 (169%)
Cash: $60 (206% of Medicare)
Ins. Median: $49 (169% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $19 - $30 65%
Wellcare Il $19 - $26 65%
Aetna $21 - $198 72%
Humana $21 - $163 72%
Medicaid / KanCare $21 - $41 72%
UnitedHealthcare $21 - $131 72%
Wellcare Ky $21 - $26 72%
Ky Racing Health & Welfare Fund $23 - $59 79%
Self-Pay $23 - $61 79%
Medicare (plans) $26 89%
Mhs Mco $26 89%
Molina Healthcare Of Ky $26 89%
Molina Healthcare Of Ky - Exchange $26 89%
Mytru Advantage $26 - $59 89%
Umwa $26 89%
Alliance Coal $28 - $41 96%
Caresource In $28 96%
Caresource In Marketplace $34 117%
Wellcare Ky Commercial Exchange $34 117%
Center Care Narrow $36 - $171 124%
Center Care Open Access $36 - $171 124%
Encircle/Encore Combined $36 - $118 124%
Encircle/Encore Prime $36 - $110 124%
Cigna $39 - $131 134%
Claimdoc $39 - $122 134%
Hopetrust $39 134%
Hstechnology $39 - $122 134%
Amish And Mennonite Of Western Ky $41 - $42 141%
Noncontracted $42 145%
First Health Network (Coventry) $49 - $173 169%
Healthlink $49 - $153 169%
Iu Health Plans $49 - $105 169%
Phcs/Multiplan $49 - $171 169%
Sagamore $49 - $180 169%
Coventry National Network $52 - $163 179%
Webster County Detention Center $52 - $163 179%
One Care $54 186%
Henderson County Detention Center $58 - $184 200%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals