CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Laredo Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $54
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Laredo Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.86x the Medicare baseline. Located in 1700 East Saunders, Laredo, TX.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)
Cash / Self-Pay: $113 (389%)
Insurance Median: $54 (186%)
Cash: $113 (389% of Medicare)
Ins. Median: $54 (186% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.06 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $19 - $39 65%
Molina $19 - $39 65%
UnitedHealthcare $19 - $109 65%
Amerigroup $20 69%
Blue Cross Blue Shield $20 - $135 69%
Cigna $20 - $245 69%
Superior $20 - $41 69%
Self Pay $27 - $50 93%
Humana $28 96%
Medicare (plans) $28 96%
Node Champva $28 96%
Node Hospice Non Par Agree $28 96%
Node Ice Health Service Corps $28 96%
Node Va $28 96%
Tricare $28 96%
Triwest $28 96%
Veterans Eval Services $28 96%
Aetna $29 - $222 100%
American Health $29 100%
Node Amerigroup Mcr Adv $29 100%
Node Tihp Mcr Adv $29 100%
Provider Partners Health Plan $29 100%
Node Wellpoint Mcr Adv $30 103%
Industrial Rehab $33 114%
Node Us Dept Of Labor $44 151%
Node Molina Health Exchange $47 162%
Lonestar Athletic $50 172%
Node Brookshire Brothers $50 172%
Node Brookshire Brothers Work Comp Tx $53 182%
Coventry Hcn Tx Work Comp $54 186%
Health Smart $54 - $268 186%
Node Superior Commercial Exchange $57 196%
Tx Work Comp $57 196%
Imo Work Comp $65 224%
Node Naphcare $65 224%
Tx Workforce Commission $126 434%
Mutual Of Omaha $249 - $364 857%
Multiplan Primary $288 991%
Medical Control $318 1094%
Accountable Health Plans $326 - $345 1122%
Health Headquarters $326 1122%
Multiplan $334 1149%
Nha $337 1160%
Galaxy Health Network $339 1167%
Cchn $345 1187%
Nppn Plan Vista $345 1187%
Ppo Next $345 1187%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 East Saunders, Laredo, TX 78044
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals