CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Physicians Regional Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $30
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Physicians Regional Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.03x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $46 (158%)
Insurance Median: $30 (103%)
Cash: $46 (158% of Medicare)
Ins. Median: $30 (103% 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
Amerigroup $26 - $29 89%
Amerigroup Community Care $26 89%
Blue Cross Blue Shield $26 - $107 89%
Tricare $26 89%
Department Of Veterans Affairs $27 93%
Humana $27 93%
Medicare (plans) $27 93%
Node Bluecare Plus Tn Mcr Adv $27 - $28 93%
UnitedHealthcare $27 - $216 93%
Veterans Eval Services $27 93%
Aetna $28 - $156 96%
Node Devoted Health Mcr Adv $28 96%
Node Farm Bureau Mcr Adv $28 96%
Node Healthspring Mcr Adv $28 96%
Node Hospice Non Par Agree $28 96%
Node Va $28 96%
Wellcare $29 100%
Node Nhc Mcr Adv $30 103%
Novanet Work Comp Tn $40 138%
Occunet Work Comp Tn $41 141%
Tn Work Comp $41 141%
Node Us Dept Of Labor $43 148%
Us Department Of Labor $43 148%
Medicaid / KanCare $45 155%
Self Pay $45 - $47 155%
Ambetter / Centene $51 175%
Node Point Comfort Underwriters $51 175%
Multiplan $112 - $147 385%
Cigna $133 458%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals