CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Houston Healthcare Southeast

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $40
  • Cash Discount Price: $390
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Houston Healthcare Southeast is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $390. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.38x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$390

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $390 (1342%)
Insurance Median: $40 (138%)
Cash: $390 (1342% of Medicare)
Ins. Median: $40 (138% 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 $22 - $31 76%
Oscar $25 - $82 86%
Amerigroup $26 - $59 89%
Blue Cross Blue Shield $26 - $147 89%
Chc Harris Health $26 - $29 89%
Cigna $26 - $337 89%
Devoted Health $26 - $29 89%
Humana $26 - $295 89%
Integranet Amerigroup Ipa $26 - $30 89%
Kelsey Seybold $26 - $29 89%
Renaissance Ipa Radiology $26 - $29 89%
Triwest Healthcare Alliance $26 - $29 89%
United $26 - $190 89%
Van Lang Ipa $26 - $30 89%
Wellcare $26 - $30 89%
Wellmed $26 - $29 89%
American Health Plan $27 - $31 93%
Procare Advantage $27 - $31 93%
Provider Partners Health Plan Of Texas $27 - $31 93%
Shared Health $27 - $31 93%
Molina $28 - $32 96%
Christus (Usfhp) $29 100%
Kindred Hospital $30 - $34 103%
Universal Healthcare Group $31 - $35 107%
Verda Health Plan $33 - $38 114%
Community Health Choice $37 - $42 127%
Superior $37 - $45 127%
Community Health Choice Mcd $47 - $55 162%
Corvel Corporation $51 - $58 175%
Omni Healthcare $54 - $61 186%
Molina Healthcare $55 - $63 189%
Texas Childrens Health Plans $63 - $100 217%
Texas Workforce Commission $86 - $101 296%
Aetna $88 - $157 303%
Healthsmart Preferred Care $154 - $358 530%
Fidelis Securecare Of Tx $161 - $190 554%
Multiplan $179 - $379 616%
Coventry National First Health $191 - $224 657%
Physicians Cooperative Of Texas $197 - $232 678%
Rockport Workers Comp $197 - $232 678%
Beech Street $215 - $337 740%
Independent Medical System $215 - $253 740%
National Healthcare Solutions $215 - $253 740%
Prime Health Services $215 - $253 740%
Southwest Medical $215 - $253 740%
Coastal Comp $233 - $274 802%
Fiesta Mart, Inc $269 - $316 926%
Texas Athletic Network $300 - $600 1032%
Physicians, Inc $305 - $358 1050%
Affiliated Ppo $323 - $379 1111%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals