Physical Therapy (Therapeutic Exercise) Cost in Maryland
Therapeutic exercises
$29.87Maryland 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
Maryland Medicare physician rate (2026)
+2.8% vs nationalAverage of 2 localities. Office range $29.35–$30.38.
Your ZIP in Maryland
A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.
What physical therapy (therapeutic exercise) costs at hospitals near you
Everything above is a national average. The hospital you pick in Maryland 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 Maryland
Where Maryland ranks for this CPT
CPT 97110 by Maryland locality
| Locality | Office |
|---|---|
| baltimore/surr. cntys | $30.38 |
| rest of maryland | $29.35 |
PE GPCI ranges from 1.012 to 1.073 in Maryland. That index is why the same CPT is not one price statewide.
Physical Therapy (Therapeutic Exercise) and how Maryland is priced
Maryland's Medicare physician pricing is split geographically: Baltimore and its surrounding counties form one locality, the rest of the state another, and, unusually, the Washington suburbs including Montgomery and Prince George's counties are priced inside the District of Columbia's high-cost locality rather than either Maryland one. That three-way carve means a Rockville procedure is approved at DC-area rates while an identical one in Frederick or Salisbury is not. Baltimore-area adjustments sit above rest-of-state levels but below the DC locality. Few states have their pricing shaped this much by a neighboring jurisdiction.
Maryland is also the only state with an all-payer rate-setting system for hospital services, so hospital-side billing works differently here than anywhere else in the country, though physician fees still follow the standard Medicare schedule. Baltimore's academic medical centers rank among the most prominent in the world and draw patients globally. The Eastern Shore and western Maryland are far more rural, with patients often traveling to Baltimore, Annapolis, or across state lines.
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 Maryland
Physical Therapy (Therapeutic Exercise) in other states
Physical Therapy (Therapeutic Exercise) in Maryland: questions
The 2026 Medicare physician office rate for CPT 97110 averages $29.87 across 2 Maryland localities, from $29.35 in REST OF MARYLAND to $30.38 in BALTIMORE/SURR. CNTYS. The hospital physician rate averages $29.87. Enter a ZIP for the exact locality.
Yes. CMS splits Maryland into 2 payment localities. For this CPT the office physician fee spans $1.03 from the lowest to highest locality. A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.
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 Maryland. Medigap may cover that 20%. This is not the hospital facility fee.
No. $29.87 is the Medicare physician allowed amount for CPT 97110. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Maryland ranks #42 of 51 states on this physician line (3% above the national office rate of $29.06).