CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Medical City Fort Worth

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $36
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Medical City Fort Worth is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.07x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)
Cash / Self-Pay: $214 (634%)
Insurance Median: $36 (107%)
Cash: $214 (634% of Medicare)
Ins. Median: $36 (107% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 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 $15 - $35 44%
Blue Cross Blue Shield $29 - $191 86%
Cigna $29 - $114 86%
Wellmed $29 - $33 86%
Aetna $30 - $126 89%
Amerigroup $30 - $34 89%
Care N Care $30 - $34 89%
Devoted Health $30 - $34 89%
Humana $30 - $265 89%
Integranet $30 - $35 89%
Mutual Of Omaha $30 - $34 89%
Triwest $30 - $34 89%
United $30 - $40 89%
Wellcare $30 - $35 89%
American Health Plan Of Texas, Inc. $31 - $35 92%
Procare Advantge $31 - $35 92%
Provider Partners Health Plan $31 - $36 92%
Texas Independent Health Plan $31 - $36 92%
Imperial Insurance Company $32 - $37 95%
Molina $32 - $37 95%
Triwest Health Alliance $33 98%
Universal Healthcare Group $35 - $40 104%
Verda Health Plan $38 - $44 113%
Bravo Health $44 - $50 130%
Oscar $45 133%
Unicare $47 - $214 139%
Superior $53 - $75 157%
Usa Managed Care $56 - $172 166%
Corvel Corporation $58 - $66 172%
Healthcare Highways $72 213%
Molina Healthcare $77 - $88 228%
City Of Mckinney $96 285%
Fidelis Securecare $96 285%
Emerging Therapy Solutions $107 - $154 317%
National Choicecare $107 317%
Pc Texas Partners $118 350%
Physicians Coop Of Tx $118 350%
Rockport Health Group $118 350%
Averde Health, Inc $124 368%
Coastal Comp Health Networks $150 445%
Mega Life $150 445%
Multiplan Phcs $150 445%
Healthsmart Preferred Care $152 451%
Lewisville Isd/Dls Consulting $161 477%
Tcu Athletics $172 510%
Usc Health Services $172 510%
Galaxy Health Network $182 540%
UnitedHealthcare $184 546%
Independent Medical Systems $214 634%
National Healthcare Solutions $214 634%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Eighth Avenue, Fort Worth, TX 76104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals