CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Medical City Las Colinas

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $37
  • Cash Discount Price: $357
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Medical City Las Colinas is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $357. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.33x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.
Cash / Self-Pay
$357

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $357 (1288%)
Insurance Median: $37 (133%)
Cash: $357 (1288% of Medicare)
Ins. Median: $37 (133% 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 $20 - $30 72%
Amerigroup $24 - $28 87%
Blue Cross Blue Shield $24 - $189 87%
Devoted Health $24 - $28 87%
Humana $24 - $197 87%
Mutual Of Omaha $24 - $28 87%
Triwest Veterans $24 - $28 87%
Wellmed $24 - $28 87%
Aetna $25 - $311 90%
Care N Care $25 - $28 90%
Cigna $25 - $60 90%
Integranet $25 - $29 90%
United $25 - $76 90%
Wellcare $25 - $29 90%
American Health Plan Of Texas, Inc. $26 - $29 94%
Procare Advantge $26 - $29 94%
Provider Partners Health Plan $26 - $29 94%
Texas Independent Health Plan $26 - $29 94%
Imperial Insurance Company $27 - $31 97%
Molina $27 - $30 97%
Triwest Health Alliance $27 97%
Universal Healthcare Group $29 - $33 105%
Verda Health Plan $32 - $36 115%
Bravo Health $37 - $42 133%
Superior $44 - $62 159%
Usa Managed Care $46 - $340 166%
Corvel Corporation $48 - $55 173%
Oscar $60 - $89 216%
Molina Healthcare $64 - $73 231%
Healthcare Highways $97 - $144 350%
Unicare $101 - $426 364%
City Of Mckinney $129 - $192 465%
National Choicecare $144 - $213 519%
Pc Texas Partners $158 - $234 570%
Physicians Coop Of Tx $158 - $234 570%
Rockport Health Group $158 - $234 570%
Averde Health, Inc $167 - $247 602%
Coastal Comp Health Networks $201 - $298 725%
Mega Life $201 - $298 725%
Multiplan Phcs $201 - $298 725%
Healthsmart Preferred Care $204 - $302 736%
Lewisville Isd/Dls Consulting $216 - $319 779%
Usc Health Services $230 - $340 830%
Galaxy Health Network $245 - $362 884%
Independent Medical Systems $288 - $426 1039%
National Healthcare Solutions $288 - $426 1039%

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