CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Memorial Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $43
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Memorial Medical Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.48x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$65

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
$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)
Cash / Self-Pay: $65 (224%)
Insurance Median: $43 (148%)
Cash: $65 (224% of Medicare)
Ins. Median: $43 (148% 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
Ambetter / Centene $10 - $52 34%
Capstar Health Network-All Plans $19 - $125 65%
Cigna $19 - $128 65%
Healthcare Highways-All Plans $20 - $125 69%
Prime Healthcare Services-All Plans $22 - $109 76%
Blue Cross Blue Shield $23 - $67 79%
Humana $25 - $125 86%
Corvel Work Comp-All Plans $26 - $133 89%
Independent Med Sys Ppo-All Plans $26 - $133 89%
Multiplan Mcr Adv $26 - $44 89%
Multiplan Phcs Ppo-All Other Plans $26 - $133 89%
Provider Select Ppo-All Plans $26 - $133 89%
Three Rivers Ppo-All Plans $26 - $133 89%
UnitedHealthcare $26 - $125 89%
Usa Mso - All Plans $26 - $133 89%
Amerigroup Mcr Adv-All Other Plans $28 - $44 96%
Care Improvement Plus - All Other Plans $28 - $44 96%
Care Improvement Plus Mcr $28 - $44 96%
Superior Allwell Mcr Adv-All Other Plans $28 - $44 96%
Triwest Va Pccc-All Plans $28 - $43 96%
Universal American Mcr-All Other Plans $28 - $44 96%
Universal American Snp $30 - $46 103%
Amerigroup Chip $31 - $75 107%
Amerigroup Star $31 - $75 107%
Amerigroup Star Kids $31 - $75 107%
Amerigroup Star Plus $31 - $75 107%
Comm Health Chip $31 - $75 107%
Comm Health Perinatal-All Other Plans $31 - $75 107%
Molina Chip/Star-All Plans $31 - $75 107%
Scott & White Chip/Star-All Plans $31 - $75 107%
Superior Chip/Star $31 - $75 107%
Texas Childrens Hp - All Plans $31 - $75 107%
Comm Health Mcaid Hmo $32 - $79 110%
Comm Health Star $32 - $79 110%
Coventry First Hlth Hmo Ppo-All Other Plans $35 - $125 120%
Coventry First Hlth Mcr Adv $35 - $44 120%
Galaxy Health Network-All Plans $41 - $133 141%
Aetna $125 430%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals