CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Houston Healthcare Northwest

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $37
  • Cash Discount Price: $659
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Houston Healthcare Northwest is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $659. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.33x the Medicare baseline. Located in 710 Cypress Creek Parkway, Houston, TX.
Cash / Self-Pay
$659

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $659 (2377%)
Insurance Median: $37 (133%)
Cash: $659 (2377% of Medicare)
Ins. Median: $37 (133% 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 $23 - $60 83%
Oscar $24 - $195 87%
Triwest Healthcare Alliance $24 - $84 87%
Blue Cross Blue Shield $25 - $351 90%
Cigna $25 - $28 90%
Devoted Health $25 - $28 90%
Humana $25 - $269 90%
Integranet Amerigroup Ipa $25 - $29 90%
United $25 - $451 90%
Van Lang Ipa $25 - $28 90%
Wellcare $25 - $29 90%
Wellmed $25 - $28 90%
American Health Plan $26 - $29 94%
Procare Advantage $26 - $29 94%
Provider Partners Health Plan Of Texas $26 - $30 94%
Shared Health $26 - $29 94%
Molina $27 - $30 97%
Christus (Usfhp) $28 101%
Triwest Health Alliance $28 101%
Verda Health Plan $32 - $36 115%
Community Health Choice $36 - $40 130%
Superior $36 - $43 130%
Community Health Choice Mcd $49 - $130 177%
Molina Healthcare $53 - $60 191%
Texas Childrens Health Plans $63 - $238 227%
Aetna $81 - $144 292%
Coventry National First Health $202 - $534 729%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 Cypress Creek Parkway, Houston, TX 77090
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals