CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Medical City Lewisville

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $330
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Medical City Lewisville is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $330. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$330

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $330 (1190%)
Insurance Median: $29 (105%)
Cash: $330 (1190% of Medicare)
Ins. Median: $29 (105% 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
Blue Cross Blue Shield $23 - $152 83%
Superior Health Plan $23 - $28 83%
Aetna $24 - $240 87%
Amerigroup $24 - $27 87%
Care N Care $24 - $27 87%
Cigna $24 - $46 87%
Devoted Health $24 - $27 87%
Humana $24 - $197 87%
Integranet $24 - $28 87%
Mutual Of Omaha $24 - $27 87%
Triwest Health Alliance $24 - $27 87%
United $24 - $66 87%
Wellcare $24 - $28 87%
Wellmed $24 - $27 87%
American Health Plan Of Texas, Inc. $25 - $28 90%
Procare Advantge $25 - $28 90%
Provider Partners Health Plan $25 - $29 90%
Texas Independent Health Plan $25 - $29 90%
Imperial Insurance Company $26 - $30 94%
Molina $26 - $29 94%
Universal Healthcare Group $29 - $32 105%
Verda Health Plan $31 - $35 112%
Bravo Health $36 - $41 130%
Superior $43 - $61 155%
Usa Managed Care $45 - $264 162%
Corvel Corporation $47 - $54 170%
Molina Healthcare $62 - $71 224%
Oscar $69 249%
Unicare $79 - $330 285%
Healthcare Highways $111 400%
City Of Mckinney $148 534%
Fidelis Securecare $148 534%
National Choicecare $165 595%
Pc Texas Partners $181 653%
Physicians Coop Of Tx $181 653%
Rockport Health Group $181 653%
Averde Health, Inc $191 689%
Usc Health Services $198 714%
Coastal Comp Health Networks $231 833%
Jostens $231 833%
Mega Life $231 833%
Multiplan Phcs $231 833%
Healthsmart Preferred Care $247 891%
Lewisville Isd/Dls Consulting $247 891%
Galaxy Health Network $280 1010%
Independent Medical Systems $330 1190%
National Healthcare Solutions $330 1190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals