CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Medical City North Hills

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $32
  • Cash Discount Price: $271
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Medical City North Hills is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.10x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$271

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $271 (933%)
Insurance Median: $32 (110%)
Cash: $271 (933% of Medicare)
Ins. Median: $32 (110% 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
Superior Health Plan $19 - $30 65%
Amerigroup $25 - $29 86%
Blue Cross Blue Shield $25 - $168 86%
Devoted Health $25 - $29 86%
Humana $25 - $217 86%
Mutual Of Omaha $25 - $29 86%
Triwest Veterans $25 - $29 86%
Wellmed $25 - $29 86%
Aetna $26 - $197 89%
Care N Care $26 - $29 89%
Cigna $26 - $217 89%
Integranet $26 - $30 89%
United $26 - $58 89%
Wellcare $26 - $30 89%
American Health Plan Of Texas, Inc. $27 - $30 93%
Procare Advantge $27 - $30 93%
Provider Partners Health Plan $27 - $31 93%
Texas Independent Health Plan $27 - $31 93%
Cenpatico $28 - $32 96%
Imperial Insurance Company $28 - $32 96%
Molina $28 - $32 96%
Triwest Health Alliance $29 100%
Universal Healthcare Group $31 - $35 107%
Verda Health Plan $33 - $38 114%
Bravo Health $38 - $43 131%
Superior $46 - $65 158%
Usa Managed Care $48 - $217 165%
Corvel Corporation $50 - $57 172%
Oscar $56 193%
Unicare $57 - $271 196%
Molina Healthcare $67 - $76 231%
Healthcare Highways $92 317%
City Of Mckinney $122 420%
Fidelis Securecare $122 420%
National Choicecare $136 468%
Pc Texas Partners $149 513%
Physicians Coop Of Tx $149 513%
Rockport Health Group $149 513%
Averde Health, Inc $157 540%
Magellan Behavior Health $163 561%
Coastal Comp Health Networks $190 654%
Mega Life $190 654%
Multiplan Phcs $190 654%
Healthsmart Preferred Care $203 699%
Lewisville Isd/Dls Consulting $203 699%
Usc Health Services $217 747%
Galaxy Health Network $230 791%
Independent Medical Systems $271 933%
National Healthcare Solutions $271 933%

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