CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Pocahontas Memorial Hospital

Billing Code: 97110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$65
about 2.2× the $29 Medicare rate · typically $22–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$71
About the fair price
about $6 over the fair price · 2.4× Medicare
Medicare pays $29 Fair price $65 This hospital $71 Cash price $64 Hospital's list price $91

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

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

Cheapest $18 Priciest $71

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

A fair price for a Physical therapy (therapeutic exercise) is about $65 (about 2.2× the $29 Medicare rate). Pocahontas Memorial Hospital charges insurers about $71, or about $64 in cash — about the fair price. Located in Buckeye, WV.

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✓ Humana CignaKaiser 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 $71 244%
Blue Cross Blue Shieldmajor $64 - $79 220%
Aetnamajor $64 - $66 220%
Humanamajor $69 - $89 237%
UniCare $64 220%
+ 1 smaller / regional plan $70
Government programs also on file: Medicare, Medicaid.
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: 150 Duncan Road, Buckeye, WV 24924
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals