CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Carepartners Rehabilitation Hospital, Lllp

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $29
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Carepartners Rehabilitation Hospital, Lllp is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.00x the Medicare baseline. Located in 68 Sweeten Creek Rd, Asheville, NC.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $96 (330%)
Insurance Median: $29 (100%)
Cash: $96 (330% of Medicare)
Ins. Median: $29 (100% 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
Apex Health $19 65%
Aetna $25 - $29 86%
Alignment Health $25 - $28 86%
Devoted Health $25 - $28 86%
Humana $25 - $29 86%
United $25 - $57 86%
Wellcare $25 - $58 86%
Provider Partners Health Plan $26 - $30 89%
Cigna $27 - $30 93%
Healthteam Advantage $27 - $31 93%
Troy Healthcare $27 - $30 93%
Amerihealth Caritas $28 - $32 96%
Longevity Health Plan $30 - $34 103%
Ambetter / Centene $50 172%
Blue Cross Blue Shield $56 193%
Caresource $57 196%
Amerihealth $58 200%
Medcost $68 234%
Multiplan $78 268%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 68 Sweeten Creek Rd, Asheville, NC 28803
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL