CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Woodland Heights Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $49
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Woodland Heights Medical Center is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.69x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $59 (203%)
Insurance Median: $49 (169%)
Cash: $59 (203% of Medicare)
Ins. Median: $49 (169% 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
Self Pay $6 - $46 21%
Medicaid / KanCare $13 - $72 45%
UnitedHealthcare $13 - $206 45%
Superior $14 - $52 48%
Blue Cross Blue Shield $18 - $110 62%
Amerigroup $19 - $72 65%
Tricare $27 - $28 93%
Department Of Veterans Affairs $28 96%
Humana $28 96%
Medicare (plans) $28 96%
Node Triwest $28 96%
Node Va $28 96%
Veterans Eval Services $28 96%
American Health Mcr Adv $29 100%
Node Amerigroup Mcr Adv $29 100%
Node Procare Advantage $29 100%
Provider Partners Health Plan $29 100%
Texas Rehab Commission $31 - $116 107%
Angelina County $42 145%
Corporate Remedies $42 145%
Partners Direct Health $42 145%
Node Us Dept Of Labor $44 151%
Node Brookshire Brothers $50 172%
Node Brookshire Brothers Work Comp Tx $52 179%
Usa Managed Care $53 182%
Cigna $54 - $214 186%
Work Comp $57 196%
Aetna $66 - $395 227%
Multiplan $81 - $395 279%
Unicare $88 - $326 303%
Galaxy Health Network $106 - $395 365%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals