CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Dallas Medical Center

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $35
Cash Discount Price: $33
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Dallas Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.04x the Medicare baseline. Located in 7 Medical Parkway, Dallas, TX.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)

Cash / Self-Pay: $33 (98%)

Insurance Median: $35 (104%)

Cash: $33 (98% of Medicare)

Ins. Median: $35 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Careworks Fka (Rockport Community Network)	$32	95%
Coastal Comp	$33 - $103	98%
Aetna	$34 - $56	101%
Blue Cross Blue Shield	$34 - $180	101%
Care N Care Insurance Company	$34	101%
Cigna	$34 - $35	101%
Humana	$34	101%
Medicare (plans)	$34	101%
Superior Health Plan	$34 - $44	101%
Texas Bluebonnett Health Plan	$34 - $56	101%
Texas First Hp	$34	101%
Tricare	$34	101%
UnitedHealthcare	$34 - $87	101%
Usa Senior Care Network	$34	101%
Wellcare	$34	101%
Wellmed	$34	101%
Wellpoint Amerigroup	$34 - $35	101%
Molina	$35 - $52	104%
Provider Partners Health Plan	$35	104%
Imperial Insurance Company	$36	107%
American Health Plan	$37	110%
Dol Office Worker Compensation	$42	125%
Hi Card	$42	125%
American Correction Healthcare	$47	139%
Employer Direct Healthcare	$47	139%
Corporate Remedies	$51	151%
Naphcare	$52	154%
Worker Compensation	$68	202%
Injury Management Org	$102	302%
Sedgwick	$106	314%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $33.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Dallas Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97750.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.