CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Perham Health

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $56
Cash Discount Price: $78
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Perham Health is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.93x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$78

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $78 (268%)

Insurance Median: $56 (193%)

Cash: $78 (268% of Medicare)

Ins. Median: $56 (193% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$27 - $126	93%
Health Partners Mcr Adv	$27 - $55	93%
Humana	$27 - $55	93%
Medica Mcr Adv	$27 - $55	93%
Medicare (plans)	$27 - $61	93%
Ucare Mn Senior Health Options	$27 - $55	93%
UnitedHealthcare	$27 - $126	93%
Medicaid / KanCare	$28 - $58	96%
Ucare Mn Medical Assistance	$28 - $58	96%
Ucare Mn Minnesota Care	$28 - $58	96%
Ucare Mn Senior Care Plus	$28 - $58	96%
Ucare Mn Special Needs Basic Care	$28 - $58	96%
Ucare Mn Special Needs Basic Care Dual	$28 - $57	96%
Medica Mcaid Mn Care	$29 - $59	100%
Medica Mn (Msho)	$32 - $66	110%
Ucare Individual And Family Plan-All Other Plans	$32 - $67	110%
Medica Mn Senior Hp/Outside Mn	$35 - $73	120%
Health Partners Minnesota Care	$39 - $80	134%
Medica Commercial-All Other Plans	$57 - $118	196%
Preferred One (Pchp, Pic, Pas)-All Other Plans	$58 - $121	200%
Health Partners-All Plans	$64 - $132	220%
Preferred One (Ppo)	$66 - $137	227%
Sanford Health Plan-All Plans	$66 - $137	227%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $78.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Perham Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.