CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Snoqualmie Valley Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $94
Cash Discount Price: $119
vs. Medicare Baseline: 3.23x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Snoqualmie Valley Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 3.23x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $119 (409%)

Insurance Median: $94 (323%)

Cash: $119 (409% of Medicare)

Ins. Median: $94 (323% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 323% of the Medicare baseline (a markup of 223%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$85 - $123	292%
Amerigroup Wellpoint	$85 - $104	292%
Blue Shield Of Wa Regence Mcr Adv	$85 - $90	292%
Community Health Plan Of Wa	$85 - $91	292%
Humana	$85 - $90	292%
Medicare (plans)	$85 - $89	292%
Molina Healthcare Of Washington Mcr Adv	$85 - $89	292%
Molina Healthcare Of Washington	$86 - $91	296%
UnitedHealthcare	$86 - $194	296%
Washington Coordinated Care	$86 - $106	296%
Community Health Plan Of Wa Mcd Rep	$94 - $98	323%
Medicaid / KanCare	$94 - $98	323%
Molina Healthcare Of Washington Mcd Rep	$101 - $106	348%
Blue Cross Blue Shield	$121 - $127	416%
Blue Shield Of Wa Regence	$121 - $127	416%
Kaiser Foundation Health Plan Of The Northwest	$126 - $133	434%
First Choice Health Network	$141 - $148	485%
Cigna	$161 - $169	554%

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 $119.
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 Snoqualmie Valley Hospital 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.