CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $43
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Poplar Bluff Regional Medical Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.48x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $46 (158%)
Insurance Median: $43 (148%)
Cash: $46 (158% of Medicare)
Ins. Median: $43 (148% 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 $22 - $51 76%
Blue Access $27 93%
Blue Cross Blue Shield $27 - $46 93%
Humana $27 93%
Medicare (plans) $27 93%
Node Champva $27 93%
Node Hospice Non Par Agree $27 93%
Node United Behavioral Health Mcr Adv $27 93%
Node Va $27 93%
Tricare $27 93%
UnitedHealthcare $27 - $96 93%
Veterans Eval Services $27 93%
Node Ahs Mcr Adv $28 96%
Node Devoted Health Mcr Adv $28 96%
Node Pphp Mcr Adv $31 107%
Centurion Correctional $34 117%
Us Department Of Labor $42 145%
Self Pay $43 148%
Naphcare $52 179%
Home State Exchange $68 234%
W W Wood $68 234%
Cigna $97 - $143 334%
Evolutions Healthcare $97 334%
Tyson Foods $98 337%
Access Health Services, Llc $102 351%
Parker Hannifin $107 - $125 368%
Healthlink $112 385%
First Health $116 399%
Blue Traditional $132 - $138 454%
Coventry Wc $143 492%
Municipal Health $143 492%
Multiplan $156 537%
Phcs $156 537%
Compresults Wc $161 554%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals