CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Medical City Las Colinas

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $60
  • Cash Discount Price: $789
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Medical City Las Colinas is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $789. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.78x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.
Cash / Self-Pay
$789

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)
Cash / Self-Pay: $789 (2339%)
Insurance Median: $60 (178%)
Cash: $789 (2339% of Medicare)
Ins. Median: $60 (178% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 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
Aetna $30 - $832 89%
Amerigroup $30 - $34 89%
Blue Cross Blue Shield $30 - $506 89%
Care N Care $30 - $34 89%
Cigna $30 - $425 89%
Devoted Health $30 - $34 89%
Humana $30 - $265 89%
Mutual Of Omaha $30 - $34 89%
Triwest Veterans $30 - $34 89%
United $30 - $203 89%
Wellmed $30 - $34 89%
American Health Plan Of Texas, Inc. $31 - $35 92%
Integranet $31 - $35 92%
Procare Advantge $31 - $35 92%
Provider Partners Health Plan $31 - $36 92%
Superior Health Plan $31 - $80 92%
Texas Independent Health Plan $31 - $36 92%
Wellcare $31 - $35 92%
Molina $32 - $37 95%
Imperial Insurance Company $33 - $37 98%
Triwest Health Alliance $34 101%
Universal Healthcare Group $36 - $40 107%
Verda Health Plan $39 - $44 116%
Bravo Health $45 - $51 133%
Superior $53 - $76 157%
Usa Managed Care $56 - $912 166%
Corvel Corporation $59 - $67 175%
Molina Healthcare $78 - $88 231%
Oscar $91 - $237 270%
Healthcare Highways $148 - $385 439%
Unicare $154 - $1,139 457%
City Of Mckinney $198 - $513 587%
National Choicecare $219 - $570 649%
Pc Texas Partners $241 - $627 714%
Physicians Coop Of Tx $241 - $627 714%
Rockport Health Group $241 - $627 714%
Averde Health, Inc $255 - $661 756%
Evry Health $294 872%
Coastal Comp Health Networks $307 - $798 910%
Mega Life $307 - $798 910%
Multiplan Phcs $307 - $798 910%
Healthsmart Preferred Care $312 - $809 925%
Lewisville Isd/Dls Consulting $329 - $855 975%
Usc Health Services $351 - $912 1041%
Galaxy Health Network $373 - $969 1106%
Independent Medical Systems $439 - $1,139 1302%
National Healthcare Solutions $439 - $1,139 1302%
Curative Administrators $456 1352%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 N Macarthur Blvd, Irving, TX 75039
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals