CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Mountain View Regional Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $56
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Mountain View Regional Medical Center is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.93x the Medicare baseline. Located in 4311 East Lohman Avenue, Las Cruces, NM.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $117 (403%)
Insurance Median: $56 (193%)
Cash: $117 (403% of Medicare)
Ins. Median: $56 (193% 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 $28 - $233 96%
Department Of Veterans Affairs $28 96%
Medicare (plans) $28 96%
Node Molina Mcr Adv $28 96%
Node Triwest $28 96%
Node Va $28 96%
Presbyterian $28 - $50 96%
Tricare $28 96%
UnitedHealthcare $28 - $214 96%
Veterans Eval Services $28 96%
Aetna $29 - $249 100%
Humana $29 100%
Node Amerigroup Mcr Adv $29 100%
Node Devoted Health Mcr Adv $29 100%
Western Sky $29 100%
Wexford Health $35 120%
Us Department Of Labor $43 148%
Naphcare Federal Prison $49 169%
Medicaid / KanCare $52 179%
Node Molina Health Exchange $52 179%
Molina $53 182%
Work Comp Nm $59 - $112 203%
Self Pay $84 - $149 289%
Presbyterian Commercial $177 609%
Cigna $189 650%
Zelis Nmmip $196 674%
Pchs $211 726%
Zelis $218 750%
Healthsmart $227 781%
First Health $233 802%
Presbyterian Select $249 857%
Admar Ppo $274 943%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4311 East Lohman Avenue, Las Cruces, NM 88011
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals