CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Mountainview Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $29
  • Cash Discount Price: $360
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Mountainview Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.00x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.
Cash / Self-Pay
$360

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: $360 (1239%)
Insurance Median: $29 (100%)
Cash: $360 (1239% 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
Aetna $4 - $55 14%
Humana $25 - $29 86%
Alignment Health Plan $26 - $29 89%
Ambetter / Centene $26 - $76 89%
Blue Cross Blue Shield $26 - $29 89%
Caremore $26 - $30 89%
Hometown Health Mcr $26 - $29 89%
Select Health $26 - $83 89%
Triwest Healthcare Alliance $26 - $29 89%
United $26 - $78 89%
UnitedHealthcare $26 - $29 89%
Community Care Health $28 96%
Imperial Nv $28 - $32 96%
Molina Healthcare $28 - $29 96%
Sierra Hpn $28 96%
Caresource $29 100%
Health Net $29 100%
Universal Healthcare $31 - $35 107%
Corvel $65 224%
Olympus Medsave Usa $68 - $270 234%
Prominence Healthfirst $108 372%
Cmn Global $151 520%
Emerging Therapy Solutions $176 - $241 606%
Hometown Health Providers $180 619%
Nv Health & Welfare Trust $216 743%
Multiplan $227 - $263 781%
First Health $238 - $288 819%
Medcare International $270 929%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 N Tenaya Way, Las Vegas, NV 89128
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals