CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Houston Healthcare Conroe

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $44
  • Cash Discount Price: $769
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Houston Healthcare Conroe is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $769. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.51x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$769

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $769 (2646%)
Insurance Median: $44 (151%)
Cash: $769 (2646% of Medicare)
Ins. Median: $44 (151% 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
Oscar $24 - $156 83%
Aetna $25 - $157 86%
Amerigroup $25 - $112 86%
Blue Cross Blue Shield $25 - $280 86%
Cigna $25 - $28 86%
Devoted Health $25 - $28 86%
Geo Group - Joe Corley Detention Facility $25 - $28 86%
Humana $25 - $295 86%
Kelsey Seybold $25 - $28 86%
Triwest Healthcare Alliance $25 - $28 86%
United $25 - $360 86%
Van Lang Ipa $25 - $29 86%
Wellmed $25 - $28 86%
American Health Plan $26 - $30 89%
Integranet Amerigroup Ipa $26 - $29 89%
Procare Advantage $26 - $30 89%
Provider Partners Health Plan Of Texas $26 - $30 89%
Shared Health $26 - $30 89%
Superior Health Plan $26 - $48 89%
Wellcare $26 - $29 89%
Molina $27 - $31 93%
Christus (Usfhp) $28 96%
Universal Healthcare Group $30 - $34 103%
Verda Health Plan $32 - $37 110%
Community Health Choice $36 - $41 124%
Superior $36 - $44 124%
Corvel Corporation $49 - $56 169%
Omni Healthcare $52 - $59 179%
Molina Healthcare $54 - $61 186%
Community Health Choice Mcd $96 - $104 330%
Texas Childrens Health Plans $151 - $189 520%
Tx Workforce Commission $178 - $192 613%
Texas Athletic Network $300 - $600 1032%
Healthsmart Preferred Care $318 - $679 1094%
Fidelis Securecare Of Tx $333 - $360 1146%
Coventry National First Health $394 - $426 1356%
Physicians Cooperative Of Texas $407 - $439 1401%
Rockport Workers Comp $407 - $439 1401%
Independent Medical System $444 - $479 1528%
National Healthcare Solutions $444 - $479 1528%
Southwest Medical $444 - $479 1528%
Coastal Comp $481 - $519 1655%
Multiplan $555 - $679 1910%
Physicians, Inc $629 - $679 2164%
Affiliated Ppo $666 - $719 2292%

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