CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Medical City Arlington

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $31
  • Cash Discount Price: $196
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Medical City Arlington is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.07x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$196

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: $196 (674%)
Insurance Median: $31 (107%)
Cash: $196 (674% 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 $14 - $30 48%
Amerigroup $25 - $29 86%
Blue Cross Blue Shield $25 - $168 86%
Devoted Health $25 - $29 86%
Humana $25 - $217 86%
Mutual Of Omaha $25 - $29 86%
Triwest Veterans $25 - $29 86%
Wellmed $25 - $29 86%
Aetna $26 - $179 89%
Care N Care $26 - $29 89%
Cigna $26 - $30 89%
Integranet $26 - $30 89%
United $26 - $37 89%
Wellcare $26 - $30 89%
American Health Plan Of Texas, Inc. $27 - $30 93%
Procare Advantge $27 - $30 93%
Provider Partners Health Plan $27 - $31 93%
Texas Independent Health Plan $27 - $31 93%
Imperial Insurance Company $28 - $32 96%
Molina $28 - $32 96%
Triwest Health Alliance $29 100%
Universal Healthcare Group $31 - $35 107%
Verda Health Plan $33 - $38 114%
Unicare $37 - $196 127%
Bravo Health $38 - $43 131%
Oscar $41 141%
Superior $46 - $65 158%
Usa Managed Care $48 - $157 165%
Corvel Corporation $50 - $57 172%
Healthcare Highways $66 227%
Molina Healthcare $67 - $76 231%
City Of Mckinney $88 303%
Fidelis Securecare $88 303%
Global Sports Services $98 337%
National Choicecare $98 337%
Pc Texas Partners $108 372%
Physicians Coop Of Tx $108 372%
Rockport Health Group $108 372%
Averde Health, Inc $114 392%
Coastal Comp Health Networks $137 471%
Mega Life $137 471%
Multiplan Phcs $137 471%
Healthsmart Preferred Care $139 478%
Lewisville Isd/Dls Consulting $147 506%
Usc Health Services $157 540%
Galaxy Health Network $167 575%
Texas Instruments $176 606%
Independent Medical Systems $196 674%
National Healthcare Solutions $196 674%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals