CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Angel Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $40
  • Cash Discount Price: $103
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Angel Medical Center is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.38x the Medicare baseline. Located in 124 Center Court Po Box 1209, Franklin, NC.
Cash / Self-Pay
$103

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $103 (354%)
Insurance Median: $40 (138%)
Cash: $103 (354% of Medicare)
Ins. Median: $40 (138% 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
Blue Cross Blue Shield $15 - $21 52%
United $16 - $52 55%
Amerihealth $17 - $22 58%
Partners Health Management $17 - $22 58%
Vaya Health $17 - $22 58%
Wellcare $17 - $21 58%
Apex Health $18 - $23 62%
Aetna $20 - $74 69%
Amerigroup $20 69%
One Call Medical $30 - $34 103%
Cigna $31 - $66 107%
Amerihealth Caritas $35 - $45 120%
Caresource $40 - $51 138%
Medcost $40 - $61 138%
Magellan $54 - $69 186%
Magellan Behavioral Health $54 - $69 186%
Multiplan $72 - $93 248%
Avalon Administrative Services $77 - $98 265%
Prime Health $80 - $104 275%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 124 Center Court Po Box 1209, Franklin, NC 28734
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals