CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Medical City Lewisville

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $31
  • Cash Discount Price: $241
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Medical City Lewisville is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $241. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.07x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$241

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $241 (829%)
Insurance Median: $31 (107%)
Cash: $241 (829% of Medicare)
Ins. Median: $31 (107% 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
Superior Health Plan $17 - $30 58%
Aetna $25 - $179 86%
Amerigroup $25 - $28 86%
Blue Cross Blue Shield $25 - $168 86%
Care N Care $25 - $29 86%
Cigna $25 - $34 86%
Devoted Health $25 - $28 86%
Humana $25 - $217 86%
Mutual Of Omaha $25 - $28 86%
Triwest Health Alliance $25 - $28 86%
United $25 - $48 86%
Wellmed $25 - $28 86%
American Health Plan Of Texas, Inc. $26 - $30 89%
Integranet $26 - $29 89%
Procare Advantge $26 - $30 89%
Provider Partners Health Plan $26 - $30 89%
Texas Independent Health Plan $26 - $30 89%
Wellcare $26 - $29 89%
Imperial Insurance Company $27 - $31 93%
Molina $27 - $31 93%
Universal Healthcare Group $30 - $34 103%
Verda Health Plan $32 - $37 110%
Bravo Health $37 - $42 127%
Superior $45 - $63 155%
Usa Managed Care $47 - $193 162%
Corvel Corporation $49 - $56 169%
Oscar $50 172%
Unicare $58 - $241 200%
Molina Healthcare $65 - $74 224%
Healthcare Highways $81 279%
City Of Mckinney $108 372%
Fidelis Securecare $108 372%
National Choicecare $120 413%
Pc Texas Partners $132 454%
Physicians Coop Of Tx $132 454%
Rockport Health Group $132 454%
Averde Health, Inc $140 482%
Usc Health Services $144 496%
Coastal Comp Health Networks $169 582%
Jostens $169 582%
Mega Life $169 582%
Multiplan Phcs $169 582%
Healthsmart Preferred Care $181 623%
Lewisville Isd/Dls Consulting $181 623%
Galaxy Health Network $205 705%
Independent Medical Systems $241 829%
National Healthcare Solutions $241 829%

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