CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $29
  • Cash Discount Price: $120
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Camc Greenbrier Valley Medical Center, Inc is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.00x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.
Cash / Self-Pay
$120

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: $120 (413%)
Insurance Median: $29 (100%)
Cash: $120 (413% 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
Blue Cross Blue Shield $18 - $111 62%
Clear Spring Health $18 62%
Humana $18 - $108 62%
Sentra Health $18 - $24 62%
The Health Plan $18 - $108 62%
UnitedHealthcare $18 - $96 62%
Unicare $21 - $22 72%
Aetna $22 - $118 76%
Caresource $22 - $96 76%
Ally Align $29 100%
Naphcare $48 165%
Integrated Medical Solutions $78 268%
Greenbrier Resort $84 289%
Healthsmart $84 289%
Multiplan $95 - $104 327%
Fedmed $108 372%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 Maplewood Avenue, Ronceverte, WV 24970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals