CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Corpus Christi Medical Center,The

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $95
  • Cash Discount Price: $457
  • vs. Medicare Baseline: 3.27x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Corpus Christi Medical Center,The is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $457. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 3.27x the Medicare baseline. Located in 3315 S Alameda St, Corpus Christi, TX.
Cash / Self-Pay
$457

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $457 (1573%)
Insurance Median: $95 (327%)
Cash: $457 (1573% of Medicare)
Ins. Median: $95 (327% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 327% of the Medicare baseline (a markup of 227%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 - $30 72%
Wellmed $24 - $27 83%
Aetna $25 - $29 86%
Blue Cross Blue Shield $25 - $193 86%
Cigna $25 - $401 86%
Humana $25 - $212 86%
Independent Medical System $25 - $28 86%
Physicians Health Choice $25 - $29 86%
Triwest Healthcare Alliance $25 - $28 86%
United $25 - $225 86%
American Health Plan $26 - $30 89%
Provider Partners Health Plan Of Texas $26 - $30 89%
Shared Health $26 - $30 89%
Molina $27 - $31 93%
Pyramid Life $27 - $30 93%
Triwest Health Alliance $28 96%
Superior $40 - $46 138%
Corvel Corporation $49 - $56 169%
Omni Healthcare $52 - $59 179%
Healthcare Highways $66 - $96 227%
Texas Workforce Commission $82 - $120 282%
Amerigroup $86 - $125 296%
Averde Health $113 - $165 389%
Healthsmart Preferred Care $147 - $426 506%
Fidelis Securecare Of Tx $154 - $225 530%
Physicians Cooperative Of Texas $189 - $276 650%
Multiplan Phcs $206 - $301 709%
National Healthcare Solutions $206 - $301 709%
Olympus Managed Healthcare $206 - $301 709%
Southwest Medical $206 - $301 709%
Usc Health Services $206 - $301 709%
First Health $212 - $309 730%
Coastal Comp $223 - $326 767%
Newton Ppo $240 - $351 826%
Texas True Choice $257 - $376 884%
Beech Street $274 - $401 943%
Usa Managed Care $274 - $401 943%
Texas Athletic Network $300 - $600 1032%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3315 S Alameda St, Corpus Christi, TX 78411
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals