CPT97110

Physical Therapy (Therapeutic Exercise) Cost in Hawaii

Therapeutic exercises

$29.07Hawaii physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Hawaii Medicare physician rate (2026)

+0.0% vs national

Single statewide locality.

Hawaii (Hospital)
$29.07
Facility physician fee
Private plan est.
$38–$58
~130–200% of Medicare
Cash / self-pay est.
$23–$44
~80–150% of Medicare

Your ZIP in Hawaii

Enter your ZIP code for Hawaii figures, whether you live on Oahu, in Hilo or Kona on the Big Island, or on Maui or Kauai where a Honolulu trip is often part of the plan.

What physical therapy (therapeutic exercise) costs at hospitals near you

Everything above is a national average. The hospital you pick in Hawaii moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Hawaii

National office$29.06
National hospital (physician)$29.06
Hawaii vs nationalwithin 2% of the national office rate of $29.06

Where Hawaii ranks for this CPT

Rank (lowest physician fee first)#36 of 51
Lowest stateArkansas ($26.97)
Highest stateAlaska ($37.31)

Physical Therapy (Therapeutic Exercise) and how Hawaii is priced

Hawaii is priced through a single locality with geographic adjustments well above the mainland norm, driven largely by the practice expense side: rent, staff wages, and supplies all cost more across the islands. Unlike Alaska, Hawaii does not carry a special statutory floor, but its indices still place it among the higher-cost states in the fee schedule. Every island shares the same locality, so Honolulu and Hilo publish the same Medicare-approved amounts. The real variable for residents is which island the care is on, not the rate itself.

Oahu holds the bulk of Hawaii's hospital capacity and nearly all of its subspecialty care, so neighbor island residents routinely fly to Honolulu for procedures, adding airfare and hotel costs to the medical bill. A small number of systems dominate the market, and physician recruitment to the islands is a chronic challenge. For complex or rare conditions, some patients travel on to the mainland West Coast.

This procedure: Therapeutic exercise is the foundational hands-on-guidance code of physical therapy: strength, range-of-motion, and flexibility exercises prescribed and supervised by a PT to restore function after injury or surgery. It is billed in 15-minute units, so a typical session includes two to four units of this code, often mixed with other billed services. Expect active work: you exercise while the therapist coaches, corrects form, and progresses the program visit by visit.

What Is Physical Therapy (Therapeutic Exercise)?

Therapeutic exercise is the foundational hands-on-guidance code of physical therapy: strength, range-of-motion, and flexibility exercises prescribed and supervised by a PT to restore function after injury or surgery. It is billed in 15-minute units, so a typical session includes two to four units of this code, often mixed with other billed services. Expect active work: you exercise while the therapist coaches, corrects form, and progresses the program visit by visit.

What Affects the Cost

  • Billing is per 15-minute unit, so the number of units per visit, not just the number of visits, drives your bill.
  • A full rehab course after surgery commonly spans 10 to 36 visits, making the per-visit total a recurring weekly expense.
  • Hospital-owned therapy clinics attach facility fees that private PT practices do not.
  • Sessions usually combine this code with others like manual therapy (97140), stacking multiple billed lines per visit.
  • High-deductible plan members often find cash-pay PT packages cheaper than their negotiated insurance rates.

Questions to Ask Before Booking

  • 1.How many units do you typically bill per session, and what will each visit cost me?
  • 2.How many PT visits does my plan allow per year, and does that count all therapy types combined?
  • 3.Do you need to get authorization after a certain number of visits?
  • 4.What is your cash rate per visit, and is it cheaper than my insurance rate before my deductible is met?
  • 5.How much of each session will be one-on-one with the therapist versus independent exercise?

Physical Therapy (Therapeutic Exercise) in Hawaii: questions

Hawaii is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 97110 is $29.07 in an office and $29.07 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Hawaii uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $6 for the office physician line or $6 for the hospital physician line in Hawaii. Medigap may cover that 20%. This is not the hospital facility fee.

No. $29.07 is the Medicare physician allowed amount for CPT 97110. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Hawaii ranks #36 of 51 states on this physician line (within 2% of the national office rate of $29.06).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.