CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $35
  • Cash Discount Price: $360
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Houston Healthcare Kingwood is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.26x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$360

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $360 (1299%)
Insurance Median: $35 (126%)
Cash: $360 (1299% of Medicare)
Ins. Median: $35 (126% 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
Superior Health Plan $21 - $29 76%
Oscar $24 - $73 87%
Wellmed $24 - $28 87%
Aetna $25 - $144 90%
Amerigroup $25 - $53 90%
Blue Cross Blue Shield $25 - $131 90%
Chc Harris Health $25 - $28 90%
Cigna $25 - $28 90%
Devoted Health $25 - $28 90%
Humana $25 - $269 90%
Integranet Amerigroup Ipa $25 - $29 90%
Kelsey Seybold $25 - $28 90%
Renaissance Ipa Radiology $25 - $28 90%
Triwest Healthcare Alliance $25 - $28 90%
United $25 - $169 90%
Van Lang Ipa $25 - $28 90%
Wellcare $25 - $29 90%
American Health Plan $26 - $29 94%
Procare Advantage $26 - $29 94%
Provider Partners Health Plan Of Texas $26 - $30 94%
Shared Health $26 - $29 94%
Molina $27 - $30 97%
Christus (Usfhp) $28 101%
Triwest Health Alliance $28 101%
Universal Healthcare Group $29 - $33 105%
Verda Health Plan $32 - $36 115%
Community Health Choice $36 - $40 130%
Superior $36 - $43 130%
Community Health Choice Mcd $45 - $49 162%
Usa Managed Care $47 - $319 170%
Corvel Corporation $49 - $55 177%
Omni Healthcare $52 - $59 188%
Molina Healthcare $53 - $60 191%
Texas Childrens Health Plans $57 - $89 206%
Healthsmart Preferred Care $148 - $319 534%
Fidelis Securecare Of Tx $155 - $169 559%
Coventry National First Health $183 - $200 660%
Physicians Cooperative Of Texas $189 - $206 682%
Rockport Workers Comp $189 - $206 682%
Independent Medical System $206 - $225 743%
National Healthcare Solutions $206 - $225 743%
Southwest Medical $206 - $225 743%
Coastal Comp $224 - $244 808%
Multiplan $258 - $319 931%
Physicians, Inc $292 - $319 1053%
Texas Athletic Network $300 - $600 1082%
Affiliated Ppo $310 - $338 1118%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals