CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $38
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Oklahoma Heart Hospital South, LLC is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.31x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $23 (79%)
Insurance Median: $38 (131%)
Cash: $23 (79% of Medicare)
Ins. Median: $38 (131% 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
Healthcare Highways $16 - $39 55%
Geha $22 76%
UnitedHealthcare $22 - $27 76%
Aetna $25 - $38 86%
Humana $25 - $45 86%
Blue Cross Blue Shield $27 - $49 93%
Cigna $27 - $39 93%
Medicare (plans) $27 - $28 93%
Va Ccn $27 93%
Healthscope $30 103%
Oscar Insurance Company $30 103%
Webtpa Chickasaw Nation Hch $31 107%
Webtpa Hobby Lobby Hch $34 117%
Ambetter / Centene $38 131%
Coventry $38 131%
Global Health $41 141%
Sana Benefits $42 145%
Ufcw $42 145%
First Health Network $45 155%
Manhattan Life $45 155%
Community Care $46 - $54 158%
Phcs $46 158%
Preferred Community Choice $49 169%
Multiplan $59 203%
The Kempton Group $68 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5200 East I-240 Service Road, Oklahoma City, OK 73135
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals