CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Dickenson Community Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $46
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Dickenson Community Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.58x the Medicare baseline. Located in 312 Hospital Drive, Clintwood, VA.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $30 (103%)
Insurance Median: $46 (158%)
Cash: $30 (103% of Medicare)
Ins. Median: $46 (158% 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 Cross Blue Shield $29 - $116 100%
Aetna $40 - $106 138%
Amerigroup $40 138%
Humana $40 138%
Managed Medicaire $40 138%
Medicare (plans) $40 138%
Sentara Health $40 - $49 138%
United Mine Workers Of America $40 138%
UnitedHealthcare $40 - $132 138%
Molina Healthcare $41 - $67 141%
Cigna $42 - $64 145%
Devoted Health Plan $42 145%
Nhc Advantage $42 145%
Medcost $46 158%
Ambetter / Centene $49 169%
Optima Health $64 220%
Seven Corners, Inc. $132 454%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 312 Hospital Drive, Clintwood, VA 24228
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals