CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Childrens Hospital of Wisconsin

Billing Code: 97110 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.2× the $29 Medicare rate · typically $23–$57
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
About the fair price
about $1 over the fair price · 1.2× Medicare
Medicare pays $29 Fair price $34 This hospital $35 Cash price $93 Hospital's list price $169

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $35

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (therapeutic exercise) is about $34 (about 1.2× the $29 Medicare rate). Childrens Hospital of Wisconsin charges insurers about $35, or about $93 in cash — about the fair price. Located in Milwaukee, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $31 - $129 107%
Blue Cross Blue Shieldmajor $36 - $161 124%
Aetnamajor $149 - $161 513%
Cignamajor $152 523%
Dean Health Plan $135 465%
Health Net $144 - $152 496%
HealthPartners $132 - $149 454%
Molina $35 120%
Quartz $144 496%
Security Health Plan $140 482%
+ 21 smaller / regional plans $31 - $152
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens