CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Dallas Regional Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $30
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Dallas Regional Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.08x the Medicare baseline. Located in 1011 North Galloway Avenue, Mesquite, TX.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)
Cash / Self-Pay: $27 (97%)
Insurance Median: $30 (108%)
Cash: $27 (97% of Medicare)
Ins. Median: $30 (108% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 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
Careworks Fka (Rockport Community Network) Workercomp $26 94%
Blue Cross Blue Shield $27 - $110 97%
Aetna $28 - $42 101%
Care N Care Insurance Company $28 101%
Cigna $28 - $29 101%
Medicare (plans) $28 101%
Superior Health Plan/Wellcare $28 - $36 101%
Texas Bluebonnett Health Plan $28 - $46 101%
Tricare $28 101%
UnitedHealthcare $28 - $173 101%
Usa Senior Care Network $28 101%
Wellmed $28 101%
Wellpoint Amerigroup $28 101%
Imperial Insurance Companies Mcr $29 105%
Molina $29 105%
Multiplan $29 105%
Provider Partners Health Plan $29 105%
American Health Plan $31 112%
Hi Card $35 126%
Worker Compensation $36 - $56 130%
American Correction Healthcare $38 137%
Employee Direct Healthcare $39 141%
Total Plans Srvices $39 141%
Wellpath $40 144%
Corporate Remedies Workers Comp $42 152%
Naphcare -Prison $43 155%
Elap Services $46 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1011 North Galloway Avenue, Mesquite, TX 75149
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals