CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Medical City Dallas Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $43
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Medical City Dallas Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.31x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)
Cash / Self-Pay: $193 (590%)
Insurance Median: $43 (131%)
Cash: $193 (590% of Medicare)
Ins. Median: $43 (131% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 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 $13 - $34 40%
UnitedHealthcare $21 - $177 64%
Cigna $25 - $109 76%
Blue Cross Blue Shield $28 - $191 86%
Aetna $29 - $179 89%
Amerigroup $29 - $33 89%
Care N Care $29 - $33 89%
Devoted Health $29 - $33 89%
Humana $29 - $246 89%
Mutual Of Omaha $29 - $33 89%
Triwest Veterans $29 - $33 89%
United $29 - $43 89%
Wellmed $29 - $33 89%
American Health Plan Of Texas, Inc. $30 - $34 92%
Integranet $30 - $34 92%
Procare Advantge $30 - $34 92%
Wellcare $30 - $34 92%
Molina $31 - $36 95%
Provider Partners Health Plan $31 - $35 95%
Texas Independent Health Plan $31 - $35 95%
Imperial Insurance Company $32 - $36 98%
Triwest Health Alliance $32 98%
Universal Healthcare Group $35 - $39 107%
Verda Health Plan $37 - $43 113%
Religious Order Of Jehovah Witness $38 - $40 116%
Oscar $39 - $41 119%
Bravo Health $43 - $49 131%
Unicare $45 - $199 137%
Superior $52 - $73 159%
Usa Managed Care $55 - $159 168%
Corvel Corporation $57 - $65 174%
Healthcare Highways $64 - $67 196%
Healthcare Highways Ntx $66 - $70 202%
Prominence Health Plan $75 - $79 229%
Molina Healthcare $76 - $86 232%
City Of Mckinney $85 - $89 260%
Fidelis Securecare $85 - $89 260%
Emerging Therapy Solutions $92 - $139 281%
National Choicecare $94 - $99 287%
Pc Texas Partners $103 - $109 315%
Physicians Coop Of Tx $103 - $109 315%
Rockport Health Group $103 - $109 315%
Texas Instruments $105 - $111 321%
Averde Health, Inc $109 - $115 333%
Coastal Comp Health Networks $132 - $139 403%
Mega Life $132 - $139 403%
Multiplan Phcs $132 - $139 403%
Healthsmart Preferred Care $133 - $141 406%
Lewisville Isd/Dls Consulting $141 - $149 431%
Usc Health Services $150 - $159 458%
Galaxy Health Network $160 - $169 489%
Independent Medical Systems $188 - $199 574%
National Healthcare Solutions $188 - $199 574%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals