CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: PAM Rehabilitation Hospital of Corpus Christi

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $43
Cash Discount Price: $112
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at PAM Rehabilitation Hospital of Corpus Christi is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.48x the Medicare baseline. Located in 345 S Water St, Corpus Christi, TX.

Cash / Self-Pay

$112

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $112 (385%)

Insurance Median: $43 (148%)

Cash: $112 (385% of Medicare)

Ins. Median: $43 (148% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$21 - $28	72%
Curative	$21	72%
Ambetter / Centene	$28	96%
Blue Cross Blue Shield	$28 - $31	96%
Christus Health Plan	$28	96%
Christus Spohn Health Network	$28 - $67	96%
Cigna	$28 - $115	96%
Ilumed Aco Reach	$28	96%
Imperial Insurance Of Texas	$28	96%
UnitedHealthcare	$28 - $90	96%
Wellcare Complete	$28	96%
Wellmed	$28	96%
Wellpoint (Amerigroup)	$28	96%
Texas Independence Health Plan	$30	103%
Velocity Provider Ppo Network	$34 - $84	117%
Prime Health Services	$37 - $95	127%
Ninety Degree Benefits	$43	148%
Sana Benefits	$43	148%
Healthcare Highways	$62	213%
America'S Choice Provider Network	$78	268%
Provider Network Of America	$84	289%
Quik Trip	$84	289%
Usa Managed Care Organization	$84	289%
Multiplan/Phcs	$90	310%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $112.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm PAM Rehabilitation Hospital of Corpus Christi is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.