CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Trident Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $36
  • Cash Discount Price: $525
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Trident Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $525. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.24x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.
Cash / Self-Pay
$525

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $525 (1807%)
Insurance Median: $36 (124%)
Cash: $525 (1807% of Medicare)
Ins. Median: $36 (124% 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 - $275 52%
Absolute Total Care $25 - $110 86%
Advantage Hospice $25 - $28 86%
Aetna $25 - $28 86%
Agape Hospice $25 - $28 86%
Arcadian $25 - $28 86%
Blue Cross Blue Shield $25 - $580 86%
Boldage Pace $25 - $29 86%
Companion $25 - $28 86%
Devoted Health $25 - $28 86%
Humana $25 - $458 86%
Molina $25 - $110 86%
Odyssey Hospice $25 - $28 86%
United Behavioral Health $25 - $28 86%
Wellcare $25 - $29 86%
Clover $26 - $29 89%
Eon Health $26 - $29 89%
Cigna $27 - $30 93%
Universal Healthcare Group $30 - $34 103%
Corvel Corporation $34 - $38 117%
Employer'S Health Network $34 - $38 117%
Prime Health $34 - $519 117%
Heritage Summit $36 - $41 124%
Sc State Employees $38 131%
Seven Corners $43 - $49 148%
Naphcare $52 - $59 179%
Blue Choice Health Plan $75 258%
Nhc Advantage $83 - $116 286%
Pruitt Health $83 - $116 286%
Medcost $167 - $343 575%
Select Health $188 - $263 647%
Employers Health Network $197 - $275 678%
Occunet $219 754%
Vocational Rehab $237 - $330 816%
First Health $320 - $446 1101%
Mhnet $328 - $458 1129%
Evernorth $350 - $489 1204%
Multiplan $372 - $519 1280%
Novanet $394 - $550 1356%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Medical Plaza Dr, Charleston, SC 29406
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals