Physical Therapy (Therapeutic Exercise) Cost in Pennsylvania
Therapeutic exercises
$28.94Pennsylvania 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
Pennsylvania Medicare physician rate (2026)
-0.4% vs nationalAverage of 2 localities. Office range $27.92–$29.96.
Your ZIP in Pennsylvania
Look up your ZIP to see whether metro Philadelphia or rest-of-state pricing applies, from Philadelphia and its collar counties to Pittsburgh, Harrisburg, Allentown, Scranton, Erie, and the rural center.
What physical therapy (therapeutic exercise) costs at hospitals near you
Everything above is a national average. The hospital you pick in Pennsylvania 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 Pennsylvania
Where Pennsylvania ranks for this CPT
CPT 97110 by Pennsylvania locality
| Locality | Office |
|---|---|
| metropolitan philadelphia | $29.96 |
| rest of pennsylvania | $27.92 |
PE GPCI ranges from 0.918 to 1.041 in Pennsylvania. That index is why the same CPT is not one price statewide.
Physical Therapy (Therapeutic Exercise) and how Pennsylvania is priced
Pennsylvania's fee schedule separates metro Philadelphia from the rest of the state, giving the southeast its own higher-cost locality while Pittsburgh, Harrisburg, Allentown, Erie, and rural Pennsylvania share rest-of-state adjustments. That means the state's second-largest medical market, Pittsburgh, is priced with rural counties rather than with Philadelphia. The Philadelphia locality's premium reflects the metro's wage and rent levels, which lead the state by a wide margin. For patients, the key locality question in Pennsylvania is simply whether care happens in the Philadelphia area.
Philadelphia is one of America's historic centers of academic medicine, dense with teaching hospitals, while Pittsburgh is dominated by a pair of large integrated systems whose rivalry has defined that market for years. The rural middle of the state, sometimes called the T, has far fewer options, and hospital closures there have drawn statewide attention. Residents near the edges use New York, Baltimore, or Ohio providers when convenient.
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 Pennsylvania
Physical Therapy (Therapeutic Exercise) in other states
Physical Therapy (Therapeutic Exercise) in Pennsylvania: questions
The 2026 Medicare physician office rate for CPT 97110 averages $28.94 across 2 Pennsylvania localities, from $27.92 in REST OF PENNSYLVANIA to $29.96 in METROPOLITAN PHILADELPHIA. The hospital physician rate averages $28.94. Enter a ZIP for the exact locality.
Yes. CMS splits Pennsylvania into 2 payment localities. For this CPT the office physician fee spans $2.04 from the lowest to highest locality. Look up your ZIP to see whether metro Philadelphia or rest-of-state pricing applies, from Philadelphia and its collar counties to Pittsburgh, Harrisburg, Allentown, Scranton, Erie, and the rural center.
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 Pennsylvania. Medigap may cover that 20%. This is not the hospital facility fee.
No. $28.94 is the Medicare physician allowed amount for CPT 97110. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Pennsylvania ranks #31 of 51 states on this physician line (within 2% of the national office rate of $29.06).