CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Samaritan Hospital of Troy, New York

Billing Code: 97110 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$63

about 2.2× the $29 Medicare rate · typically $29–$117

modeled estimate · not a bill or quote

What this hospital charges insurers

$111

Well above the fair price

about $48 over the fair price · 3.8× Medicare

Medicare pays $29 Fair price $63 This hospital $111 Cash price $83 Hospital's list price $127

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $28 Priciest $111

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (therapeutic exercise) is about $63 (about 2.2× the $29 Medicare rate). Samaritan Hospital of Troy, New York charges insurers about $111, or about $83 in cash — well above the fair price. Located in Troy, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $63. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$21 - $383	72%
Blue Cross Blue Shieldmajor	$28 - $297	96%
Aetnamajor	$30 - $230	103%
Cignamajor	$269	926%
Fidelis Care	$51	175%
GEHA	$230	791%
Harvard Pilgrim	$383	1318%
HealthPartners	$269	926%
Independent Health	$108	372%
MagnaCare	$108	372%
Medical Mutual	$230	791%
MVP Health Care	$158 - $170	544%
Priority Health	$269	926%
Tufts Health Plan	$269	926%
UniCare	$111	382%
+ 22 smaller / regional plans	$28 - $316

Government programs also on file: Medicare, Medicaid.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 83), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 97110.

Insurance Before you use insurance

Call your insurance company to confirm Samaritan Hospital of Troy, New York is in-network.
Ask your insurer whether prior approval is required for CPT code 97110.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Samaritan Hospital of Troy, New York

Compare: Physical therapy (therapeutic exercise) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.