Physical Therapy (Therapeutic Exercise) Cost in Illinois
Therapeutic exercises
$28.96Illinois physician fee2026 Medicare office rate- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Illinois Medicare physician rate (2026)
-0.3% vs nationalAverage of 4 localities. Office range $28.06–$29.79.
Your ZIP in Illinois
Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.
What physical therapy (therapeutic exercise) costs at hospitals near you
Everything above is a national average. The hospital you pick in Illinois moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
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 Illinois
Where Illinois ranks for this CPT
CPT 97110 by Illinois locality
| Locality | Office |
|---|---|
| suburban chicago | $29.79 |
| chicago | $29.67 |
| east st. louis | $28.30 |
| rest of illinois | $28.06 |
PE GPCI ranges from 0.913 to 1.027 in Illinois. That index is why the same CPT is not one price statewide.
Physical Therapy (Therapeutic Exercise) and how Illinois is priced
Illinois uses one of the more detailed locality maps in the Midwest: Chicago has its own locality, the suburban collar counties are priced separately, the East St. Louis area carries its own locality tied to the St. Louis market, and the rest of the state shares a fourth. Approved amounts step down noticeably from the city and suburbs to downstate, so the same procedure prices differently in Chicago, Naperville, Belleville, and Springfield. This four-way split makes Illinois one of the states where a ZIP-level check genuinely changes the answer. Downstate rates align more closely with neighboring rural states than with Chicagoland.
Chicago is one of the country's great medical hubs, with multiple academic medical centers and deep specialist supply, and its suburbs support large competing systems of their own. Downstate Illinois is a different market: smaller cities like Peoria, Springfield, and Champaign serve wide rural areas, and the Metro East suburbs orient toward St. Louis providers. Where you sit on that map shapes both price and choice.
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?
Other featured procedures in Illinois
Physical Therapy (Therapeutic Exercise) in other states
Physical Therapy (Therapeutic Exercise) in Illinois: questions
The 2026 Medicare physician office rate for CPT 97110 averages $28.96 across 4 Illinois localities, from $28.06 in REST OF ILLINOIS to $29.79 in SUBURBAN CHICAGO. The hospital physician rate averages $28.96. Enter a ZIP for the exact locality.
Yes. CMS splits Illinois into 4 payment localities. For this CPT the office physician fee spans $1.73 from the lowest to highest locality. Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.
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 Illinois. Medigap may cover that 20%. This is not the hospital facility fee.
No. $28.96 is the Medicare physician allowed amount for CPT 97110. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Illinois ranks #32 of 51 states on this physician line (within 2% of the national office rate of $29.06).