CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Lincolnhealth

Billing Code: 97110 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$47
about 1.6× the $29 Medicare rate · typically $30–$67
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
About the fair price
about $6 over the fair price · 1.8× Medicare
Medicare pays $29 Fair price $47 This hospital $53 Cash price $140 Hospital's list price $140

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $27 Priciest $53

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

A fair price for a Physical therapy (therapeutic exercise) is about $47 (about 1.6× the $29 Medicare rate). Lincolnhealth charges insurers about $53, or about $140 in cash — about the fair price. Located in Damariscotta, ME.

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 $32 - $132 110%
Blue Cross Blue Shieldmajor $32 - $127 110%
Aetnamajor $29 - $127 100%
Cignamajor $127 437%
Humanamajor $33 - $53 114%
Harvard Pilgrim $57 - $132 196%
WellCare $33 - $55 114%
+ 1 smaller / regional plan $60 - $129
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 35 Miles Street, Damariscotta, ME 04543
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals