CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Medical Center of McKinney

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $36
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Medical Center of McKinney is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.30x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$146

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: $146 (527%)
Insurance Median: $36 (130%)
Cash: $146 (527% 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
Superior Health Plan $10 - $28 36%
Cigna $19 - $119 69%
Blue Cross Blue Shield $23 - $152 83%
Aetna $24 - $179 87%
Amerigroup $24 - $27 87%
Care N Care $24 - $27 87%
Devoted Health $24 - $27 87%
Humana $24 - $197 87%
Integranet $24 - $28 87%
Mutual Of Omaha $24 - $27 87%
Triwest Veterans $24 - $27 87%
United $24 - $28 87%
Wellcare $24 - $28 87%
Wellmed $24 - $27 87%
American Health Plan Of Texas, Inc. $25 - $28 90%
Procare Advantge $25 - $28 90%
Provider Partners Health Plan $25 - $29 90%
Texas Independent Health Plan $25 - $29 90%
Cenpatico $26 - $29 94%
Imperial Insurance Company $26 - $30 94%
Molina $26 - $29 94%
Universal Healthcare Group $29 - $32 105%
Oscar $30 - $31 108%
Verda Health Plan $31 - $35 112%
Bravo Health $36 - $41 130%
Unicare $37 - $149 133%
Superior $43 - $61 155%
Usa Managed Care $45 - $119 162%
Corvel Corporation $47 - $54 170%
Healthcare Highways $48 - $50 173%
City Of Mckinney $50 - $52 180%
Molina Healthcare $62 - $71 224%
Fidelis Securecare $64 - $67 231%
National Choicecare $71 - $74 256%
Pc Texas Partners $79 - $82 285%
Physicians Coop Of Tx $79 - $82 285%
Rockport Health Group $79 - $82 285%
Averde Health, Inc $83 - $86 299%
Magellan Bh $86 - $89 310%
Value Options Behavioral Health $86 - $89 310%
Coastal Comp Health Networks $100 - $104 361%
Mega Life $100 - $104 361%
Multiplan Phcs $100 - $104 361%
Lewisville Isd/Dls Consulting $107 - $111 386%
Compsych Corporation $114 - $119 411%
Healthsmart Preferred Care $114 - $119 411%
Galaxy Health Network $121 - $126 437%
Independent Medical Systems $143 - $149 516%
National Healthcare Solutions $143 - $149 516%

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