CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Cook Childrens Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $51
Cash Discount Price: $69
vs. Medicare Baseline: 1.75x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Cook Childrens Medical Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.75x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$69

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $69 (237%)

Insurance Median: $51 (175%)

Cash: $69 (237% of Medicare)

Ins. Median: $51 (175% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Beacon	$17 - $64	58%
Firstcare	$17 - $116	58%
Health Plan W/O Uhrip	$17 - $48	58%
Rightcare	$23 - $64	79%
Health Plan W. Uhrip	$26 - $55	89%
Molina	$26 - $53	89%
El Paso Health First	$31 - $64	107%
Tx Children Health	$31 - $64	107%
United Community	$32 - $51	110%
Wellpoint	$32 - $51	110%
Blue Cross Blue Shield	$33 - $130	114%
Aetna	$35 - $123	120%
UnitedHealthcare	$40 - $123	138%
Superior Health	$41 - $64	141%
S&W Health	$58 - $121	200%
Cigna	$59 - $123	203%
Healthscope	$59 - $123	203%
Imagine Health	$59 - $123	203%
Humana	$60 - $127	206%
Multiplan	$60 - $126	206%
First Health	$61 - $127	210%
Galaxy Health	$62 - $130	213%
Usamco	$64 - $133	220%
Healthsmart	$83 - $130	286%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $69.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cook Childrens Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.