CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Medical City Las Colinas

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $38
  • Cash Discount Price: $323
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Medical City Las Colinas is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $323. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.31x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.
Cash / Self-Pay
$323

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $323 (1111%)
Insurance Median: $38 (131%)
Cash: $323 (1111% of Medicare)
Ins. Median: $38 (131% 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.

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 $17 - $31 58%
Wellmed $25 - $29 86%
Aetna $26 - $299 89%
Amerigroup $26 - $29 89%
Blue Cross Blue Shield $26 - $182 89%
Care N Care $26 - $29 89%
Cigna $26 - $57 89%
Devoted Health $26 - $29 89%
Humana $26 - $217 89%
Integranet $26 - $30 89%
Mutual Of Omaha $26 - $29 89%
Triwest Veterans $26 - $29 89%
United $26 - $73 89%
Wellcare $26 - $30 89%
American Health Plan Of Texas, Inc. $27 - $31 93%
Procare Advantge $27 - $31 93%
Provider Partners Health Plan $27 - $31 93%
Texas Independent Health Plan $27 - $31 93%
Imperial Insurance Company $28 - $32 96%
Molina $28 - $32 96%
Triwest Health Alliance $29 100%
Universal Healthcare Group $31 - $35 107%
Verda Health Plan $33 - $38 114%
Bravo Health $38 - $44 131%
Superior $46 - $65 158%
Oscar $49 - $85 169%
Usa Managed Care $49 - $327 169%
Corvel Corporation $51 - $58 175%
Molina Healthcare $67 - $76 231%
Healthcare Highways $80 - $138 275%
Unicare $83 - $409 286%
City Of Mckinney $106 - $184 365%
National Choicecare $118 - $205 406%
Pc Texas Partners $130 - $225 447%
Physicians Coop Of Tx $130 - $225 447%
Rockport Health Group $130 - $225 447%
Averde Health, Inc $137 - $237 471%
Coastal Comp Health Networks $165 - $286 568%
Mega Life $165 - $286 568%
Multiplan Phcs $165 - $286 568%
Healthsmart Preferred Care $167 - $291 575%
Lewisville Isd/Dls Consulting $177 - $307 609%
Usc Health Services $189 - $327 650%
Galaxy Health Network $200 - $348 688%
Independent Medical Systems $236 - $409 812%
National Healthcare Solutions $236 - $409 812%

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