CMS Price Transparency Data
Physical therapy (therapeutic exercise)
Facility: Chelsea Hospital
Billing Code: 97110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97110
- Insurance Median: $146
- Cash Discount Price: $143
- vs. Medicare Baseline: 5.02x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Chelsea Hospital is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 5.02x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$143
Average discount available for prompt cash payment at this facility.
Insurance Median
$146
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: $143 (492%)
Insurance Median: $146 (502%)
Cash: $143 (492% of Medicare)
Ins. Median: $146 (502% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 502% of the Medicare baseline (a markup of 402%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $16 - $82 | 55% |
| Medicaid / KanCare | $16 | 55% |
| Aetna | $28 - $121 | 96% |
| Blue Care Network Advantage | $28 | 96% |
| Medicare (plans) | $28 - $29 | 96% |
| Align Senior Care | $29 | 100% |
| Angela Hospice | $29 | 100% |
| Arbor Hospice | $29 | 100% |
| Heartland Hospice | $29 | 100% |
| UnitedHealthcare | $30 - $148 | 103% |
| Cca - Zing Health | $31 | 107% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $33 | 114% |
| Molina Marketplace | $38 | 131% |
| U Of M Health Plan | $44 | 151% |
| Health Cost Solutions | $45 | 155% |
| Vitalcore | $45 | 155% |
| Wellpath | $45 | 155% |
| Priority Health | $58 - $64 | 200% |
| Wc Accident Fund | $58 | 200% |
| Wc Advantage | $58 | 200% |
| Wc Aig | $58 | 200% |
| Wc Allied | $58 | 200% |
| Wc Amerisure | $58 | 200% |
| Wc Amtrust | $58 | 200% |
| Wc Asu Risk Mgt | $58 | 200% |
| Wc Berkley Admin | $58 | 200% |
| Wc Broadspire | $58 | 200% |
| Wc Bunch & Associates | $58 | 200% |
| Wc Ccmsi | $58 | 200% |
| Wc Emc Insurance Company | $58 | 200% |
| Wc Esis | $58 | 200% |
| Wc Fcci | $58 | 200% |
| Wc Federated | $58 | 200% |
| Wc Gallagher Bassett | $58 | 200% |
| Wc Genex Care For Ohio | $58 | 200% |
| Wc Guard Insurance Company | $58 | 200% |
| Wc Hartford | $58 | 200% |
| Wc Liberty Mutual | $58 | 200% |
| Wc Meijers | $58 | 200% |
| Wc Michigan | $58 | 200% |
| Wc Mitchell Frankenmuth | $58 | 200% |
| Wc Pma | $58 | 200% |
| Wc Sedgwick | $58 | 200% |
| Wc Sentry | $58 | 200% |
| Wc Travelers | $58 | 200% |
| Wc Tristar | $58 | 200% |
| Wc Walmart | $58 | 200% |
| Wc Zurich | $58 | 200% |
| Employee Benefit Logistic | $65 | 224% |
| Asr Health Benefits | $80 | 275% |
| Caresource | $80 | 275% |
| Hap | $80 - $171 | 275% |
| Varipro | $80 | 275% |
| Bcn Domestic | $82 | 282% |
| Blue Benefit Administrators Of Massachusetts | $82 | 282% |
| Blue Care Network | $82 | 282% |
| Blue Distinction Transplant | $82 | 282% |
| Blue Shield - Ca | $82 | 282% |
| Blue Shield - Id (Regence) | $82 | 282% |
| Blue Shield - Ny Highmark Northeastern | $82 | 282% |
| Blue Shield - Ny Highmark Western | $82 | 282% |
| Blue Shield - Pa (Highmark) | $82 | 282% |
| Blue Shield - Wa (Regence) | $82 | 282% |
| Health Choices | $82 - $146 | 282% |
| Kaiser Domestic | $82 | 282% |
| Geha | $121 - $148 | 416% |
| Meritain | $121 | 416% |
| Access Health | $146 | 502% |
| Acclaim | $146 | 502% |
| Administrative Concepts | $146 | 502% |
| Allegeant | $146 | 502% |
| Ameriben | $146 | 502% |
| American Family | $146 | 502% |
| American Healthcare Alliance | $146 | 502% |
| American National | $146 | 502% |
| American Republic | $146 | 502% |
| Amerihealth | $146 | 502% |
| Aultcare | $146 | 502% |
| Automated Benefit Services | $146 | 502% |
| Auxiant | $146 | 502% |
| Benefit Administrative Systems,Llc | $146 | 502% |
| Boon Chapman | $146 | 502% |
| Cam Administrative Services | $146 | 502% |
| Christian Brother Services | $146 | 502% |
| Christian Brothers Holy Cross | $146 | 502% |
| Comprehensive Benefits | $146 | 502% |
| Continental Life Insurance | $146 | 502% |
| Custom Benefit Administrators | $146 | 502% |
| Employee Benefit Concepts | $146 | 502% |
| Employee Benefit Management | $146 | 502% |
| Enterprise Group Planning | $146 | 502% |
| Freedom Life Insurance Company | $146 | 502% |
| Group Administrators | $146 | 502% |
| Group Marketing Services | $146 | 502% |
| Guardian | $146 | 502% |
| Health America | $146 | 502% |
| Healthcare Management Admin | $146 | 502% |
| Healthez | $146 | 502% |
| Humana | $146 | 502% |
| Insight | $146 | 502% |
| Intercare | $146 | 502% |
| Jfp Benefit Management | $146 | 502% |
| Jp Farley Corporation | $146 | 502% |
| Key Benefit Administrator | $146 | 502% |
| Liberty Union Life Assurance Co | $146 | 502% |
| Lucent Health | $146 | 502% |
| Luminare Health | $146 | 502% |
| Luminare Health (Detroit) | $146 | 502% |
| Magnacare | $146 | 502% |
| Medben | $146 | 502% |
| Medcost | $146 | 502% |
| Medical Mutual | $146 | 502% |
| Mutual Health Services | $146 | 502% |
| Mutual Of Omaha | $146 | 502% |
| Ncas | $146 | 502% |
| Nippon Life Ins | $146 | 502% |
| Nova | $146 | 502% |
| Painters Union Insurance Fund | $146 | 502% |
| Physicians Mutual | $146 | 502% |
| Plumbers Local 98 Insurance Fund | $146 | 502% |
| Prairie States | $146 | 502% |
| Preferred One | $146 | 502% |
| Primary Physician Care | $146 | 502% |
| Professional Benefit Administrators | $146 | 502% |
| Siho Insurance Services | $146 | 502% |
| Sisco Benefits | $146 | 502% |
| The Loomis Company | $146 | 502% |
| Unicare | $146 | 502% |
| Us Health And Life | $146 | 502% |
| Valenz | $146 | 502% |
| Western & Southern Financial Group | $146 | 502% |
| Wps | $146 | 502% |
| Coventry | $150 | 516% |
| First Health | $150 | 516% |
| Hospice Of Michigan | $154 | 530% |
| Cigna | $155 | 533% |
| 1199 National Benefit Fund | $165 | 568% |
| Allied National Global Care | $165 | 568% |
| Asrm - Reliance Standard Life Insurance | $165 | 568% |
| Christian Care Ministry | $165 | 568% |
| Dean Health | $165 | 568% |
| Fallon Health | $165 | 568% |
| Family Life Insurance Company | $165 | 568% |
| Ghc Scw | $165 | 568% |
| Group Pension Administrators | $165 | 568% |
| International Benefit Administrators | $165 | 568% |
| Lifetime Benefit Solutions | $165 | 568% |
| Manhattan Life | $165 | 568% |
| Medi Share | $165 | 568% |
| Multiplan | $165 | 568% |
| Mvp | $165 | 568% |
| Pai | $165 | 568% |
| Pan-American Life | $165 | 568% |
| Paramount Hmo | $165 | 568% |
| Phcs | $165 | 568% |
| Trinity Health Share | $165 | 568% |
| Health Partners | $171 | 588% |
| Tufts Health Plan | $171 | 588% |
| Prime Health Services | $176 | 606% |
| Three Rivers Provider Network | $198 | 681% |
| Cmh Detroit Wayne Integrated Health Network | $220 | 757% |
| Cmh Jackson County/Lifeways | $220 | 757% |
| Cmh Lenawee County | $220 | 757% |
| Cmh Livingston County | $220 | 757% |
| Cmh Misc | $220 | 757% |
| Cmh Monroe County | $220 | 757% |
| Cmh Washtenaw County | $220 | 757% |
| Magellan Behavioral Health | $220 | 757% |