CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Tristar Centennial Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $29
  • Cash Discount Price: $437
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Tristar Centennial Medical Center is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $437. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.00x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.
Cash / Self-Pay
$437

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: $437 (1504%)
Insurance Median: $29 (100%)
Cash: $437 (1504% 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 $23 - $26 79%
Amerigroup $24 - $28 83%
Devoted Health Plan $24 - $28 83%
Healthspring $24 - $28 83%
Humana $24 - $284 83%
Odyssey Healthcare $24 - $28 83%
Sarah Cannon Research $24 - $28 83%
United $24 - $197 83%
United Behavioral Health $24 - $28 83%
Aetna $25 - $326 86%
Blue Cross Blue Shield $25 - $59 86%
Wellcare $25 - $28 86%
Zing $25 - $28 86%
American Health Advantage $26 - $29 89%
Evergreen Hmo $26 - $29 89%
Signature Advantage $26 - $29 89%
Atrio Golden Times $27 - $30 93%
Bright Health $28 - $105 96%
Prime Health $35 - $385 120%
Corvel Corporation $36 - $41 124%
Novanet $36 - $41 124%
Kentucky Labor Cabinet $80 275%
Oscar $80 275%
Apex Health $83 286%
Nhc Advantage, Inc. $83 286%
Pruitt Health (Allyalign) $83 286%
Ambetter / Centene $98 - $101 337%
Cigna $110 - $350 379%
Tennessee Donor Services $118 406%
Emerging Therapy Solutions $214 - $293 736%
Bgfh Singlesource $219 - $372 754%
Value Option $219 754%
Multiplan $240 826%
Southern Health Partners $262 902%
Employers Health Network $306 1053%
Mhnet $328 1129%
Odom'S Tn Pride Sausage $328 1129%
Compsych $350 1204%
Beech Street $385 1325%
UnitedHealthcare $389 - $437 1339%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2300 Patterson Street, Nashville, TN 37203
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals