CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Moberly Regional Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $55
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Moberly Regional Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.89x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $77 (265%)
Insurance Median: $55 (189%)
Cash: $77 (265% of Medicare)
Ins. Median: $55 (189% 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.

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
Medicaid / KanCare $25 - $42 86%
Blue Access $27 93%
Blue Cross Blue Shield $27 - $73 93%
Blue Preferred $27 93%
Medicare (plans) $27 93%
Node Va $27 93%
Pathway/Pathway X $27 93%
Tricare $27 93%
UnitedHealthcare $27 - $157 93%
Veterans Eval Services $27 93%
Node Devoted Health Mcr Adv $28 96%
Centurion Correctional $34 117%
Corizon $34 117%
United Behavioral Health Mcd $41 141%
Home State Health Plan $42 - $50 145%
Us Department Of Labor $42 145%
Healthscope Benefits $46 158%
Naphcare $52 179%
Self Pay $55 - $99 189%
Cigna $64 220%
Access Health Services, Llc $133 458%
Aetna $135 - $164 465%
Healthlink $144 - $164 496%
Blue Traditional $147 - $153 506%
Multiplan Primary $154 530%
Coventry Wc $164 564%
Multiplan $166 571%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals