CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Merit Health Natchez

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $28
  • Cash Discount Price: $127
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Merit Health Natchez is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 0.96x the Medicare baseline. Located in 52 Sergeant Prentiss Drive, Natchez, MS.
Cash / Self-Pay
$127

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $127 (437%)
Insurance Median: $28 (96%)
Cash: $127 (437% of Medicare)
Ins. Median: $28 (96% 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
Aetna $11 - $238 38%
Humana $11 38%
Medicaid / KanCare $11 - $24 38%
Medpartners $21 72%
Caresource Truecare $24 83%
Magnolia Mcd Chip $24 83%
UnitedHealthcare $24 - $188 83%
Tricare $25 86%
Molina Chip $26 89%
First Choice $27 - $296 93%
Medicare (plans) $27 93%
Node Champva $27 93%
Node Devoted Health Mcr Adv $27 93%
Node First Choice American Health Of Ms Mcr Adv $27 93%
Node First Choice Ice $27 93%
Node Hospice Non Par Agree $27 93%
Node Magnolia Mcr Adv $27 93%
Node Molina $27 93%
Node Peoples Health Mcr Adv $27 93%
Node Va $27 93%
Node Vantage Mcr Adv $27 93%
Veterans Eval Services $27 93%
Node Dignity Care Mcr Adv $28 96%
Node First Choice Wellcare Mcr Adv $28 96%
Node Healthy Mississippi Mcr Adv $30 103%
Advanced Health Systems $32 110%
Blue Cross Blue Shield $38 131%
Node Us Dept Of Labor $42 145%
Prime Health Wc $46 158%
Magnolia Exchange $47 162%
Work Comp $47 162%
Molina Exchange $49 169%
Vantage Commercial $61 210%
Vantage Ppaca Tiered $62 213%
Self Pay $76 - $177 262%
Cigna $110 379%
Trimed Billing Solutions $127 437%
Prime Health Services $338 1163%
Ms Dept Of Rehabilitation Services $422 1452%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 52 Sergeant Prentiss Drive, Natchez, MS 39120
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals