CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Valley Regional Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $30
  • Cash Discount Price: $903
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Valley Regional Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $903. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.03x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.
Cash / Self-Pay
$903

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $903 (3107%)
Insurance Median: $30 (103%)
Cash: $903 (3107% of Medicare)
Ins. Median: $30 (103% 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
Aetna $25 - $286 86%
Blue Cross Blue Shield $25 - $406 86%
Cigna $25 - $28 86%
Humana $25 - $445 86%
Independent Medical System $25 - $28 86%
Triwest Healthcare Alliance $25 - $28 86%
United $25 - $406 86%
Wellmed $25 - $28 86%
American Health Plan $26 - $30 89%
Physicians Health Choice $26 - $29 89%
Prominence Health $26 - $30 89%
Provider Partners Health Plan Of Texas $26 - $30 89%
Shared Health $26 - $30 89%
Superior Health Plan $26 - $63 89%
Molina $27 - $31 93%
Superior $39 - $44 134%
Corvel Corporation $49 - $56 169%
Molina Healthcare $52 - $59 179%
Omni Healthcare $52 - $59 179%
Texas Workforce Commission $217 747%
Oscar $246 847%
Averde Health $298 1025%
Texas Athletic Network $300 - $600 1032%
Healthsmart Preferred Care $388 - $768 1335%
First Health $519 1786%
National Healthcare Solutions $542 1865%
Southwest Medical $542 1865%
Coastal Comp $587 2020%
Total E&P Mexico $587 2020%
Affiliated Healthcare $614 2113%
Mcm Maxcare $723 2488%
Pronet Ppo $723 2488%
Usa Managed Care $723 2488%
Beech Street $813 2798%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 A Alton Gloor, Brownsville, TX 78526
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals