CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Penn Medicine | Good Shepherd Rehabilitation

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $44
  • Cash Discount Price: $150
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Penn Medicine | Good Shepherd Rehabilitation is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.51x the Medicare baseline. Located in 1800 Lombard St, Fifth Floor, Philadelphia, PA.
Cash / Self-Pay
$150

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $150 (516%)
Insurance Median: $44 (151%)
Cash: $150 (516% of Medicare)
Ins. Median: $44 (151% 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
Humana $28 - $30 96%
Choice Care $30 103%
Cigna $30 - $151 103%
Clover Health $30 103%
Geisinger Commercial $30 - $44 103%
Highmark Wholecare $30 103%
Keystone First $30 - $51 103%
Medicare (plans) $30 103%
PA Health & Wellness $30 - $35 103%
UnitedHealthcare $49 - $190 169%
Imagine $52 179%
Blue Cross Blue Shield $56 - $94 193%
Preferred Health Care $124 427%
Aetna $148 509%
Highmark Sepa $206 709%
Prime Health $211 726%
Devon Health $242 833%
Multiplan $242 833%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Lombard St, Fifth Floor, Philadelphia, PA 19146
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL