CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Womans Hospital of Texas,The

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $33
  • Cash Discount Price: $234
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Womans Hospital of Texas,The is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $234. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.14x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$234

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $234 (805%)
Insurance Median: $33 (114%)
Cash: $234 (805% of Medicare)
Ins. Median: $33 (114% 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 $12 - $31 41%
Community Health Choice Mcd $25 - $36 86%
Oscar $25 - $54 86%
Amerigroup $26 - $38 89%
Blue Cross Blue Shield $26 - $123 89%
Cigna $26 - $29 89%
Devoted Health $26 - $29 89%
Humana $26 - $295 89%
Integranet Amerigroup Ipa $26 - $30 89%
Kelsey Seybold $26 - $30 89%
Triwest Healthcare Alliance $26 - $29 89%
United $26 - $124 89%
Van Lang Ipa $26 - $30 89%
Wellcare $26 - $30 89%
Wellmed $26 - $29 89%
American Health Plan $27 - $31 93%
Procare Advantage $27 - $31 93%
Provider Partners Health Plan Of Texas $27 - $31 93%
Shared Health $27 - $31 93%
Molina $28 - $32 96%
Christus (Usfhp) $29 100%
Triwest Health Alliance $29 100%
Universal Healthcare Group $31 - $35 107%
Verda Health Plan $33 - $38 114%
Community Health Choice $37 - $42 127%
Superior $37 - $45 127%
Texas Childrens Health Plans $46 - $72 158%
Corvel Corporation $51 - $58 175%
Omni Healthcare $54 - $61 186%
Molina Healthcare $56 - $64 193%
Healthsmart Preferred Care $83 - $234 286%
Fidelis Securecare Of Tx $87 - $124 299%
Aetna $91 - $182 313%
Coventry National First Health $103 - $147 354%
Physicians Cooperative Of Texas $106 - $151 365%
Rockport Workers Comp $106 - $151 365%
Independent Medical System $116 - $165 399%
National Healthcare Solutions $116 - $165 399%
Southwest Medical $116 - $165 399%
Coastal Comp $126 - $179 434%
Affiliated Ppo $145 - $206 499%
Fiesta Mart, Inc $145 - $206 499%
Multiplan $145 - $234 499%
Physicians, Inc $164 - $234 564%
Texas Athletic Network $300 - $600 1032%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals