CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Mid-Columbia Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $58
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Mid-Columbia Medical Center is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 2.00x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $49 (169%)
Insurance Median: $58 (200%)
Cash: $49 (169% of Medicare)
Ins. Median: $58 (200% 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
Blue Cross Blue Shield $29 - $355 100%
Community Hp Mcr Adv - All Plans $29 100%
Healthnet Mcr Adv $29 100%
Moda Mcr Adv $29 - $30 100%
Molina Mcr Adv $29 100%
Tricare $29 100%
Va Ccn Triwest - All Plans $29 100%
Humana $30 103%
Devoted Mcr Adv - All Plans $31 - $120 107%
Employee Health Plan - All Plans $32 - $52 110%
Molina - All Other Plans $32 110%
Healthnet - All Other Plans $42 145%
Cigna $48 - $105 165%
Molina Mcaid $49 - $58 169%
Multiplan/Phcs - All Plans $49 - $106 169%
Aetna $54 - $103 186%
Coventry - All Plans $54 - $100 186%
First Choice - All Plans $55 - $106 189%
Norocor - All Plans $56 193%
Amerigroup Mcaid - All Plans $58 - $94 200%
Coordinated Care Mcaid - All Plans $58 - $94 200%
Providence Ppo - All Plans $58 - $106 200%
UnitedHealthcare $58 - $106 200%
Moda Health Plan - All Other Plans $60 - $73 206%
Healthscape - All Plans $89 306%
First Health - All Plans $99 341%
Pacific Source - All Plans $102 351%
Trpn - Three Rivers - All Plans $106 365%
Ahp - Americas Hlth Plan - All Plans $108 372%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals