CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Neshoba County General Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $30
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Neshoba County General Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.03x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $59 (203%)
Insurance Median: $30 (103%)
Cash: $59 (203% of Medicare)
Ins. Median: $30 (103% 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
Tricare $24 83%
Magnolia Mcaid $26 89%
Molina Mcaid $26 89%
Mpcn Mcaid $26 89%
UnitedHealthcare $26 - $134 89%
Humana $27 93%
Magnolia Mcr Adv-All Other Plans $27 93%
Molina Comm-All Other Plans $27 93%
Molina Mcr Adv $27 93%
Wellcare Mcr Adv-All Plans $27 93%
First Choice Comm Ip/Op Only - All Plans $34 117%
Aetna $42 145%
Ahs Ip/Op Only-All Plans $63 217%
Blue Cross Blue Shield $67 231%
Affordable Health Care-All Plans $71 244%
Health Choice Ip/Op Only-All Plans $71 244%
Health Link Ip/Op Only-All Plans $71 244%
Cigna $75 258%
Geha-All Plans $76 262%
Multiplan-All Plans $76 262%
Mpcn Ip/Op Only-All Other Plans $105 361%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL