CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Boston Children's Hospital

Billing Code: 97110 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$133

about 4.6× the $29 Medicare rate · typically $39–$137

modeled estimate · not a bill or quote

What this hospital charges insurers

$109

Below the fair price — a good deal

about $24 under the fair price · 3.8× Medicare

Medicare pays $29 Fair price $133 This hospital $109 Cash price $191 Hospital's list price $191

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $30 Priciest $109

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (therapeutic exercise) is about $133 (about 4.6× the $29 Medicare rate). Boston Children's Hospital charges insurers about $109, or about $191 in cash — below the fair price — a good deal. Located in Boston, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$114 - $162	392%
Blue Cross Blue Shieldmajor	$108 - $126	372%
Aetnamajor	$115 - $160	396%
Cignamajor	$162 - $172	557%
Humanamajor	$172	592%
Ambetter (Centene)	$121	416%
CDPHP	$94 - $162	323%
Harvard Pilgrim	$97 - $129	334%
Tufts Health Plan	$117 - $118	403%
UniCare	$107	368%
+ 8 smaller / regional plans	$116 - $172

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 191), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 97110.

Insurance Before you use insurance

Call your insurance company to confirm Boston Children's Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 97110.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Boston Children's Hospital

Compare: Physical therapy (therapeutic exercise) at other MA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.