CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Medical City Las Colinas

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $43
  • Cash Discount Price: $377
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Medical City Las Colinas is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $377. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.31x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.
Cash / Self-Pay
$377

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)
Cash / Self-Pay: $377 (1152%)
Insurance Median: $43 (131%)
Cash: $377 (1152% of Medicare)
Ins. Median: $43 (131% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 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
Superior Health Plan $19 - $34 58%
Blue Cross Blue Shield $28 - $212 86%
Aetna $29 - $349 89%
Amerigroup $29 - $33 89%
Care N Care $29 - $33 89%
Cigna $29 - $67 89%
Devoted Health $29 - $33 89%
Humana $29 - $246 89%
Mutual Of Omaha $29 - $33 89%
Triwest Veterans $29 - $33 89%
United $29 - $85 89%
Wellmed $29 - $33 89%
American Health Plan Of Texas, Inc. $30 - $34 92%
Integranet $30 - $34 92%
Procare Advantge $30 - $34 92%
Wellcare $30 - $34 92%
Molina $31 - $36 95%
Provider Partners Health Plan $31 - $35 95%
Texas Independent Health Plan $31 - $35 95%
Imperial Insurance Company $32 - $36 98%
Triwest Health Alliance $32 98%
Universal Healthcare Group $35 - $39 107%
Verda Health Plan $37 - $43 113%
Bravo Health $43 - $49 131%
Superior $52 - $73 159%
Usa Managed Care $55 - $382 168%
Corvel Corporation $57 - $65 174%
Oscar $57 - $99 174%
Molina Healthcare $76 - $86 232%
Healthcare Highways $93 - $161 284%
Unicare $97 - $478 296%
City Of Mckinney $124 - $215 379%
National Choicecare $138 - $239 422%
Pc Texas Partners $152 - $263 464%
Physicians Coop Of Tx $152 - $263 464%
Rockport Health Group $152 - $263 464%
Averde Health, Inc $160 - $277 489%
Coastal Comp Health Networks $193 - $334 590%
Mega Life $193 - $334 590%
Multiplan Phcs $193 - $334 590%
Healthsmart Preferred Care $196 - $339 599%
Lewisville Isd/Dls Consulting $207 - $358 632%
Usc Health Services $221 - $382 675%
Galaxy Health Network $234 - $406 715%
Independent Medical Systems $276 - $478 843%
National Healthcare Solutions $276 - $478 843%

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