CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Union Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $39
  • Cash Discount Price: $141
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Union Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.34x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$141

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $141 (485%)
Insurance Median: $39 (134%)
Cash: $141 (485% of Medicare)
Ins. Median: $39 (134% 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
Oscar $12 - $92 41%
Buckeye $17 - $74 58%
Molina $17 - $78 58%
Caresource $18 - $74 62%
Ohcp $18 - $116 62%
Summacare $18 - $136 62%
United $18 - $118 62%
Amerihealth $19 - $82 65%
Omas $22 - $120 76%
Aetna $24 - $239 83%
Healthsmart $25 - $131 86%
Phphi $27 - $143 93%
Upmc $27 - $143 93%
Blue Cross Blue Shield $28 - $127 96%
Cigna $28 - $108 96%
Humana $28 - $37 96%
Mmo $28 - $155 96%
The Health Plan $28 - $206 96%
Valor $28 - $37 96%
Aultcare $29 - $108 100%
Communicare $29 - $39 100%
Perennial Health $30 - $40 103%
Pphp $30 103%
Zing Health $30 - $72 103%
Cc Ehp $31 - $178 107%
Gms $32 - $167 110%
Consociate Health $34 - $179 117%
Devoted Health $37 127%
UnitedHealthcare $37 127%
Multiplan $40 - $215 138%
Amish Community Aid Plan $108 - $120 372%
Ohio Healthy $129 444%
Php $143 492%
Medical Benefit Corp $167 575%
Frontpath $215 740%
Managed Care Services $215 740%
Tertiary Care Network $215 740%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals