CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Maury Regional Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $29
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Maury Regional Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.00x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $70 (241%)
Insurance Median: $29 (100%)
Cash: $70 (241% of Medicare)
Ins. Median: $29 (100% 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
Wellpoint $25 - $34 86%
Wellpoint Tci $25 86%
Blue Cross Blue Shield $27 - $148 93%
UnitedHealthcare $27 - $28 93%
American Health Plans $28 - $29 96%
Cigna $28 96%
Farm Bureau Health Plans $28 96%
Humana $28 96%
Medicare (plans) $28 96%
Aetna $29 - $133 100%
Nhc $29 100%
Wellcare Harmony Health $29 100%
Medrisk $41 141%
State Of Tennessee $41 141%
Occucomp $45 155%
Ambetter / Centene $48 - $70 165%
Spnet $48 165%
Onecall Medical $50 172%
Oscar $71 244%
Wayne County Jail $74 255%
Lawrence County Jail $111 382%
Lewis County Jail $111 382%
Marshall County Jail $111 382%
Beech Street $118 406%
Multiplan $118 406%
Phcs $118 406%
Firsthealth $142 489%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals