CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Round Rock Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $32
  • Cash Discount Price: $304
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Round Rock Medical Center is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.10x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
$304

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $304 (1046%)
Insurance Median: $32 (110%)
Cash: $304 (1046% of Medicare)
Ins. Median: $32 (110% 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 $15 - $52 52%
Wellmed $24 - $27 83%
Aetna $25 - $181 86%
Blue Cross Blue Shield $25 - $180 86%
Cigna $25 - $28 86%
Devoted Health $25 - $28 86%
Humana $25 - $28 86%
Odyssey Hospice $25 - $28 86%
St David’S Hospice $25 - $28 86%
Triwest Healthcare Alliance $25 - $28 86%
United $25 - $137 86%
American Health Plan Of Texas $26 - $30 89%
Provider Partners Health Plan $26 - $30 89%
Shared Health $26 - $30 89%
Texas Independent Health Plan $26 - $30 89%
Wellcare $26 - $30 89%
Imperial Insurance $27 - $31 93%
Molina Healthcare $27 - $31 93%
Pyramid Life $27 - $30 93%
Triwest Health Alliance $28 96%
Universal Health $30 - $34 103%
Austin Fc $31 - $35 107%
Amerigroup $34 117%
Sendero $34 - $48 117%
Naphcare $39 - $44 134%
Corvel Corporation $49 - $56 169%
Oscar $58 - $65 200%
Moda $71 244%
Covenant Management Systems $88 303%
Healthcare Highways $88 - $91 303%
Imo Med - Select Network $91 313%
Moda Health $109 - $112 375%
Texas Healthcare Foundation Heb $112 385%
Texas Workforce Commission $119 409%
Averde Health $137 471%
Comanche County $152 523%
National Choicecare $152 523%
Healthsmart Preferred Care $167 - $243 575%
Independent Medical Systems $167 575%
Physicians Cooperative Of Texas $167 575%
Prime Health $182 626%
First Health $192 - $219 661%
Coastal Comp Health Networks $198 681%
National Health Care $198 681%
Occunet $213 733%
Texas Municipal League $213 733%
Medcorp Southwest $228 785%
Rockport Healthcare Group $243 - $274 836%
Bce Emergis Corporation $274 943%
Beech Street $274 943%
Medical Control Network Solutions $274 943%
Multiplan $274 943%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals