CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Medical Center of McKinney

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $34
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Medical Center of McKinney is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.01x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $84 (249%)
Insurance Median: $34 (101%)
Cash: $84 (249% of Medicare)
Ins. Median: $34 (101% 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.

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 $6 - $34 18%
Aetna $11 - $62 33%
Cigna $11 - $69 33%
United $15 - $33 44%
Oscar $17 - $18 50%
Unicare $22 - $86 65%
Blue Cross Blue Shield $28 - $191 83%
Healthcare Highways $28 - $29 83%
Amerigroup $29 - $33 86%
Care N Care $29 - $33 86%
City Of Mckinney $29 - $30 86%
Devoted Health $29 - $33 86%
Humana $29 - $265 86%
Mutual Of Omaha $29 - $33 86%
Triwest Veterans $29 - $33 86%
Wellmed $29 - $33 86%
American Health Plan Of Texas, Inc. $30 - $34 89%
Integranet $30 - $34 89%
Procare Advantge $30 - $34 89%
Wellcare $30 - $34 89%
Cenpatico $31 - $36 92%
Molina $31 - $36 92%
Provider Partners Health Plan $31 - $35 92%
Texas Independent Health Plan $31 - $35 92%
Imperial Insurance Company $32 - $36 95%
Universal Healthcare Group $35 - $39 104%
Fidelis Securecare $37 - $39 110%
Verda Health Plan $37 - $43 110%
National Choicecare $41 - $43 122%
Bravo Health $43 - $49 127%
Pc Texas Partners $46 - $47 136%
Physicians Coop Of Tx $46 - $47 136%
Rockport Health Group $46 - $47 136%
Averde Health, Inc $48 - $50 142%
Magellan Bh $50 - $51 148%
Value Options Behavioral Health $50 - $51 148%
Superior $52 - $73 154%
Usa Managed Care $55 - $69 163%
Corvel Corporation $57 - $65 169%
Coastal Comp Health Networks $58 - $60 172%
Mega Life $58 - $60 172%
Multiplan Phcs $58 - $60 172%
Lewisville Isd/Dls Consulting $62 - $64 184%
Compsych Corporation $66 - $69 196%
Healthsmart Preferred Care $66 - $69 196%
Galaxy Health Network $70 - $73 208%
Molina Healthcare $76 - $86 225%
Independent Medical Systems $83 - $86 246%
National Healthcare Solutions $83 - $86 246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals