CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: North Texas Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $28
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at North Texas Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.01x the Medicare baseline. Located in 1900 Hospital Blvd, Gainesville, TX.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $35 (126%)
Insurance Median: $28 (101%)
Cash: $35 (126% of Medicare)
Ins. Median: $28 (101% 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
90 Degree Benefits $27 97%
Aetna $27 - $87 97%
Blue Cross Blue Shield $27 - $71 97%
Humana $27 97%
Molina $27 - $30 97%
Prime Health $27 - $127 97%
Prominence Health $27 - $28 97%
Superior $27 - $30 97%
UnitedHealthcare $27 - $130 97%
Wellmed $27 97%
Wellpoint $27 97%
Providers Partners Health Plan $28 101%
Cigna $56 202%
First Health $85 307%
Healthcare Highways $85 307%
Multiplan $99 357%
Provider Select $120 433%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Hospital Blvd, Gainesville, TX 76240
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals