CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Bmh-Calhoun

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $117
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 4.03x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Bmh-Calhoun is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 4.03x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$107

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $107 (368%)
Insurance Median: $117 (403%)
Cash: $107 (368% of Medicare)
Ins. Median: $117 (403% 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 403% of the Medicare baseline (a markup of 303%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Ppo Holdings $29 - $81 100%
Magnolia Regional Health Center $30 - $85 103%
Tricare $31 - $87 107%
Blue Cross Blue Shield $32 - $94 110%
Devoted Health $33 - $93 114%
Molina $33 - $169 114%
Ms Breast And Cervical $33 - $92 114%
Triwest $33 - $92 114%
Vaccn $33 - $92 114%
Aetna $34 - $138 117%
American Health Plan $34 - $96 117%
Humana $34 - $170 117%
Primewell $34 - $96 117%
Shared Health $34 - $96 117%
Magnolia Ms $37 - $104 127%
Littler $38 - $106 131%
Cigna $42 - $117 145%
First Choice Health Plan Of Ms $49 - $137 169%
Burch Food Services $56 - $156 193%
First State Bank Trust $56 - $156 193%
Arlington Community Schools $59 - $165 203%
Armstrong Relocation $59 - $165 203%
Ashley Furniture Stores $59 - $165 203%
Bartlett City Schools $59 - $165 203%
Brimhall Foods $59 - $165 203%
Building Plastic $59 - $165 203%
Cannon Motor Company $59 - $165 203%
Carlisle $59 - $165 203%
City Of Bartlett $59 - $165 203%
City Of Lakeland $59 - $165 203%
Collierville Schools $59 - $165 203%
Crittenden County $59 - $165 203%
Davidson Hospitality $59 - $165 203%
Delta Industries $59 - $165 203%
Desoto Co Board Of Supervisors $59 - $165 203%
Dunn Investment Company $59 - $165 203%
Eas Mssc Schools $59 - $165 203%
First Community Bank $59 - $165 203%
French Camp Academy $59 - $165 203%
Gossett Motor Cars $59 - $165 203%
Hattiesburg Clinic $59 - $165 203%
Heartland Catfish Company $59 - $165 203%
Heavy Machines $59 - $165 203%
Hollowell Industries $59 - $165 203%
Hospitality Management Advisors $59 - $165 203%
Jas D Collier $59 - $165 203%
Lakeland School System $59 - $165 203%
Malco Theaters $59 - $165 203%
Mechanical Systems $59 - $165 203%
Mid-South Transport $59 - $165 203%
Minact $59 - $165 203%
Patterson Warehouses $59 - $165 203%
Radians $59 - $165 203%
Rei Nation $59 - $165 203%
Retzer Resources $59 - $165 203%
Ritchey Automotive $59 - $165 203%
Security One $59 - $165 203%
Silver Tree $59 - $165 203%
State Systems $59 - $165 203%
Town Of Collierville $59 - $165 203%
United Tn Holdings $59 - $165 203%
Vaughn Electric $59 - $165 203%
W G Yates $59 - $165 203%
W W Wood Products $59 - $165 203%
Watkins Uiberall $59 - $165 203%
Y K Auto Group $59 - $165 203%
Advanced Health Systems Inc. $61 - $170 210%
Christian Health Aid $61 - $170 210%
Employers Health Network $65 - $183 224%
Harding Academy $65 - $183 224%
Ppo Plus $65 - $181 224%
Multiplan $68 - $192 234%
Qca $68 - $192 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 140 Burke-Calhoun City Road, Calhoun City, MS 38916
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals