CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Houston Healthcare Conroe

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $36
  • Cash Discount Price: $573
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Houston Healthcare Conroe is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $573. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.30x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$573

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $573 (2067%)
Insurance Median: $36 (130%)
Cash: $573 (2067% of Medicare)
Ins. Median: $36 (130% 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
Oscar $23 - $116 83%
Aetna $24 - $144 87%
Amerigroup $24 - $83 87%
Blue Cross Blue Shield $24 - $208 87%
Cigna $24 - $27 87%
Devoted Health $24 - $27 87%
Geo Group - Joe Corley Detention Facility $24 - $27 87%
Humana $24 - $269 87%
Integranet Amerigroup Ipa $24 - $28 87%
Kelsey Seybold $24 - $27 87%
Triwest Healthcare Alliance $24 - $27 87%
United $24 - $268 87%
Van Lang Ipa $24 - $27 87%
Wellcare $24 - $28 87%
Wellmed $24 - $27 87%
American Health Plan $25 - $28 90%
Procare Advantage $25 - $28 90%
Provider Partners Health Plan Of Texas $25 - $29 90%
Shared Health $25 - $28 90%
Superior Health Plan $25 - $36 90%
Molina $26 - $29 94%
Christus (Usfhp) $27 97%
Universal Healthcare Group $29 - $32 105%
Verda Health Plan $31 - $35 112%
Community Health Choice $34 - $39 123%
Superior $34 - $42 123%
Corvel Corporation $47 - $54 170%
Omni Healthcare $50 - $57 180%
Molina Healthcare $51 - $58 184%
Community Health Choice Mcd $72 - $77 260%
Texas Childrens Health Plans $112 - $141 404%
Tx Workforce Commission $132 - $143 476%
Healthsmart Preferred Care $237 - $506 855%
Fidelis Securecare Of Tx $248 - $268 895%
Coventry National First Health $294 - $317 1061%
Texas Athletic Network $300 - $600 1082%
Physicians Cooperative Of Texas $303 - $327 1093%
Rockport Workers Comp $303 - $327 1093%
Independent Medical System $331 - $357 1194%
National Healthcare Solutions $331 - $357 1194%
Southwest Medical $331 - $357 1194%
Coastal Comp $358 - $387 1291%
Multiplan $413 - $506 1490%
Physicians, Inc $468 - $506 1688%
Affiliated Ppo $496 - $536 1789%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 504 Medical Center Blvd, Conroe, TX 77304
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals