CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Houston Healthcare West

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $41
  • Cash Discount Price: $681
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Houston Healthcare West is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $681. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.48x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$681

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $681 (2457%)
Insurance Median: $41 (148%)
Cash: $681 (2457% of Medicare)
Ins. Median: $41 (148% 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
Oscar $24 - $133 87%
Wellmed $24 - $28 87%
Aetna $25 - $144 90%
Amerigroup $25 - $96 90%
Blue Cross Blue Shield $25 - $239 90%
Chc Harris Health $25 - $28 90%
Cigna $25 - $546 90%
Devoted Health $25 - $28 90%
Humana $25 - $269 90%
Integranet Amerigroup Ipa $25 - $29 90%
Kelsey Seybold $25 - $28 90%
Renaissance Ipa Radiology $25 - $28 90%
Triwest Healthcare Alliance $25 - $28 90%
United $25 - $307 90%
Van Lang Ipa $25 - $28 90%
Wellcare $25 - $29 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%
Superior Health Plan $26 - $41 94%
Molina $27 - $30 97%
Christus (Usfhp) $28 101%
Triwest Health Alliance $28 101%
Universal Healthcare Group $29 - $33 105%
Verda Health Plan $32 - $36 115%
Community Health Choice $36 - $40 130%
Superior $36 - $43 130%
Corvel Corporation $49 - $55 177%
Omni Healthcare $52 - $59 188%
Molina Healthcare $53 - $60 191%
Community Health Choice Mcd $88 - $89 317%
Texas Childrens Health Plans $113 - $162 408%
Texas Workforce Commission $163 - $164 588%
Healthsmart Preferred Care $292 - $581 1053%
Texas Athletic Network $300 - $600 1082%
Fidelis Securecare Of Tx $306 - $307 1104%
Coventry National First Health $362 - $364 1306%
Physicians Cooperative Of Texas $373 - $376 1346%
Rockport Workers Comp $373 - $376 1346%
Independent Medical System $407 - $410 1468%
National Healthcare Solutions $407 - $410 1468%
Southwest Medical $407 - $410 1468%
Triumph $407 - $410 1468%
Coastal Comp $441 - $444 1591%
Multiplan $509 - $581 1836%
Physicians, Inc $577 - $581 2082%
Affiliated Ppo $611 - $615 2204%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals