CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Mount Carmel St Ann's

Billing Code: 97110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$32
about 1.1× the $29 Medicare rate · typically $27–$89
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
about $4 over the fair price · 1.2× Medicare
Medicare pays $29 Fair price $32 This hospital $36 Cash price $85 Hospital's list price $131

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $18 Priciest $36

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

A fair price for a Physical therapy (therapeutic exercise) is about $32 (about 1.1× the $29 Medicare rate). Mount Carmel St Ann's charges insurers about $36, or about $85 in cash — about the fair price. Located in Westerville, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $28 - $283 96%
Blue Cross Blue Shieldmajor $27 - $131 93%
Aetnamajor $27 - $131 93%
Cignamajor $232 798%
Humanamajor $67 - $131 231%
AmeriHealth $61 210%
CareSource $96 330%
GEHA $59 - $283 203%
HealthLink $98 337%
HealthPartners $232 798%
MagnaCare $61 210%
Medical Mutual $51 - $104 175%
MVP Health Care $232 798%
Oscar Health $46 158%
Paramount $69 237%
Priority Health $232 798%
Sentara $131 451%
UniCare $61 210%
+ 90 smaller / regional plans $29 - $632
Government programs also on file: Medicare, Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 500 South Cleveland Avenue, Westerville, OH 43081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals