CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Medical City North Hills

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $30
  • Cash Discount Price: $236
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Medical City North Hills is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $236. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.08x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$236

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)
Cash / Self-Pay: $236 (851%)
Insurance Median: $30 (108%)
Cash: $236 (851% of Medicare)
Ins. Median: $30 (108% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 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
Superior Health Plan $17 - $29 61%
Amerigroup $24 - $28 87%
Blue Cross Blue Shield $24 - $152 87%
Devoted Health $24 - $28 87%
Humana $24 - $197 87%
Mutual Of Omaha $24 - $28 87%
Triwest Veterans $24 - $28 87%
United $24 - $51 87%
Wellmed $24 - $27 87%
Aetna $25 - $179 90%
Care N Care $25 - $28 90%
Cigna $25 - $189 90%
Integranet $25 - $28 90%
Wellcare $25 - $28 90%
American Health Plan Of Texas, Inc. $26 - $29 94%
Cenpatico $26 - $30 94%
Molina $26 - $30 94%
Procare Advantge $26 - $29 94%
Provider Partners Health Plan $26 - $29 94%
Texas Independent Health Plan $26 - $29 94%
Imperial Insurance Company $27 - $30 97%
Triwest Health Alliance $27 97%
Universal Healthcare Group $29 - $33 105%
Verda Health Plan $32 - $36 115%
Bravo Health $36 - $41 130%
Superior $44 - $62 159%
Usa Managed Care $46 - $189 166%
Corvel Corporation $48 - $55 173%
Oscar $49 177%
Unicare $50 - $236 180%
Molina Healthcare $64 - $72 231%
Healthcare Highways $80 289%
City Of Mckinney $106 382%
Fidelis Securecare $106 382%
National Choicecare $118 426%
Pc Texas Partners $130 469%
Physicians Coop Of Tx $130 469%
Rockport Health Group $130 469%
Averde Health, Inc $137 494%
Magellan Behavior Health $142 512%
Coastal Comp Health Networks $165 595%
Mega Life $165 595%
Multiplan Phcs $165 595%
Healthsmart Preferred Care $177 639%
Lewisville Isd/Dls Consulting $177 639%
Usc Health Services $189 682%
Galaxy Health Network $201 725%
Independent Medical Systems $236 851%
National Healthcare Solutions $236 851%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals