CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: New London Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $65
Cash Discount Price: $67
vs. Medicare Baseline: 2.24x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at New London Hospital is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 2.24x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$65

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: $67 (231%)

Insurance Median: $65 (224%)

Cash: $67 (231% of Medicare)

Ins. Median: $65 (224% 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 224% of the Medicare baseline (a markup of 124%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerihealth Caritas Nh	$26 - $75	89%
Blue Cross Blue Shield	$26 - $116	89%
Granite State Health Plan	$26 - $74	89%
Wellsense Health Plan	$26 - $65	89%
Martin'S Point Generations Advantage	$29 - $65	100%
Martin'S Point Health Care	$29 - $101	100%
UnitedHealthcare	$29 - $115	100%
Wellcare Health Plans	$30 - $65	103%
Aetna	$34 - $127	117%
Harvard Pilgrim Health Care Of Ne	$34 - $105	117%
Ambetter / Centene	$38 - $65	131%
Cigna	$40 - $100	138%
Tufts Health Plan	$102 - $106	351%
Coventry	$139	478%
Multiplan	$140	482%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $67.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm New London Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.