CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Colleton Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $33
  • Cash Discount Price: $438
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Colleton Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $438. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.14x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$438

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $438 (1507%)
Insurance Median: $33 (114%)
Cash: $438 (1507% of Medicare)
Ins. Median: $33 (114% 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 Choice $15 52%
United $15 - $251 52%
Absolute Total Care $24 - $85 83%
Aetna $24 - $274 83%
Arcadian $24 - $28 83%
Blue Cross Blue Shield $24 - $449 83%
Devoted Health $24 - $28 83%
Humana $24 - $426 83%
Molina $24 - $85 83%
Odyssey Hospice $24 - $28 83%
United Behavioral Health $24 - $28 83%
Wellcare $24 - $29 83%
Boldage Pace $25 - $29 86%
Clover $25 - $29 86%
Eon Health $25 - $29 86%
Cigna $26 - $306 89%
Align Networks $27 - $31 93%
Universal Healthcare Group $29 - $34 100%
Corvel Corporation $33 - $38 114%
Employer'S Health Network $33 - $38 114%
Prime Health $33 - $402 114%
Heritage Summit $35 - $41 120%
Sc State Employees $38 - $60 131%
Seven Corners $42 - $49 145%
Medical Development $50 - $59 172%
Naphcare $50 - $59 172%
Nhc Advantage $83 - $90 286%
Pruitt Health $83 - $90 286%
Blue Choice Health Plan $133 - $139 458%
Select Health $188 - $203 647%
Employers Health Network $197 - $213 678%
Value Option $219 - $236 754%
Vocational Rehab $237 - $255 816%
Medcost $247 - $345 850%
Mhnet $328 - $355 1129%
Evernorth $350 - $378 1204%
Multiplan $372 - $402 1280%
North American Administrators $372 - $402 1280%
First Health $394 - $426 1356%
Novanet $394 - $426 1356%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals