CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Hannibal Regional Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $69
Cash Discount Price: $52
vs. Medicare Baseline: 2.37x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Hannibal Regional Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 2.37x the Medicare baseline. Located in 6000 Hospital Dr, Hannibal, MO.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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: $52 (179%)

Insurance Median: $69 (237%)

Cash: $52 (179% of Medicare)

Ins. Median: $69 (237% 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 237% of the Medicare baseline (a markup of 137%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$27 - $78	93%
UnitedHealthcare	$27 - $70	93%
Health Alliance	$30 - $72	103%
Medicaid / KanCare	$38	131%
Healthy Blue	$41	141%
Samaritan Employee Health Plan	$56	193%
6 Degrees Health	$64 - $70	220%
Blue Cross Blue Shield	$64 - $78	220%
Cigna	$68	234%
Current Health Network	$70	241%
Healthlink	$70 - $115	241%
Hope Trust	$79	272%

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 $52.
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 Hannibal Regional Hospital 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.