CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Medical City Fort Worth

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $43
  • Cash Discount Price: $147
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Medical City Fort Worth is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.31x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
$147

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: $147 (449%)
Insurance Median: $43 (131%)
Cash: $147 (449% 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 $10 - $34 31%
Cigna $19 - $83 58%
United $26 - $33 79%
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%
Oscar $29 - $33 89%
Triwest $29 - $33 89%
Wellmed $29 - $32 89%
American Health Plan Of Texas, Inc. $30 - $34 92%
Integranet $30 - $34 92%
Procare Advantge $30 - $34 92%
Provider Partners Health Plan $30 - $35 92%
Texas Independent Health Plan $30 - $35 92%
Unicare $30 - $156 92%
Wellcare $30 - $34 92%
Molina $31 - $36 95%
Imperial Insurance Company $32 - $36 98%
Triwest Health Alliance $32 98%
Universal Healthcare Group $34 - $39 104%
Verda Health Plan $37 - $42 113%
Bravo Health $43 - $49 131%
Healthcare Highways $47 - $53 144%
Superior $51 - $73 156%
Usa Managed Care $55 - $125 168%
Corvel Corporation $57 - $65 174%
City Of Mckinney $62 - $70 189%
Fidelis Securecare $62 - $70 189%
Emerging Therapy Solutions $69 - $113 211%
National Choicecare $69 - $78 211%
Molina Healthcare $75 - $85 229%
Pc Texas Partners $76 - $86 232%
Physicians Coop Of Tx $76 - $86 232%
Rockport Health Group $76 - $86 232%
Averde Health, Inc $80 - $91 244%
Coastal Comp Health Networks $96 - $110 293%
Mega Life $96 - $110 293%
Multiplan Phcs $96 - $110 293%
Healthsmart Preferred Care $98 - $111 299%
Lewisville Isd/Dls Consulting $103 - $117 315%
Tcu Athletics $110 - $125 336%
Usc Health Services $110 - $125 336%
Galaxy Health Network $117 - $133 357%
UnitedHealthcare $118 - $135 361%
Independent Medical Systems $138 - $156 422%
National Healthcare Solutions $138 - $156 422%

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