CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Childrens Medical Ctr of Dallas

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $142
Cash Discount Price: $152
vs. Medicare Baseline: 5.12x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Childrens Medical Ctr of Dallas is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 5.12x the Medicare baseline. Located in 1935 Medical District Drive, Dallas, TX.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

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: $152 (548%)

Insurance Median: $142 (512%)

Cash: $152 (548% of Medicare)

Ins. Median: $142 (512% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 512% of the Medicare baseline (a markup of 412%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$24 - $142	87%
Humana	$24 - $152	87%
Medicaid / KanCare	$24	87%
Oklahoma Complete Health	$24	87%
Superior Health Plan	$43	155%
Firstcare Health	$49	177%
Parkland Community	$67	242%
Cookchildren'S Health Plan	$69	249%
Molina Healthcare	$71	256%
Carelon	$75 - $99	271%
Texas Children'S Health Plan	$77	278%
Wellpoint	$77	278%
Blue Cross Blue Shield	$81 - $138	292%
UnitedHealthcare	$108 - $152	390%
Methodist	$116	418%
Cigna	$134 - $140	483%
Employers Health Network	$142	512%
Imagine Health	$142	512%
Scott & White	$144	519%
Txp Emerging Therapy Solutions	$144	519%
Healthsmart	$148 - $173	534%
Healthscope Benefit Solutions	$152	548%
Phcs	$152	548%
Quiktrip (Qt)	$152	548%
Txp Interlink	$152	548%
Coventry Health	$162	584%
Equifax Healthcare	$173	624%
Multiplan	$173	624%
Usa Managed Care	$189	682%
Galaxy Health	$197	711%

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 $152.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97140.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Childrens Medical Ctr of Dallas is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97140.
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.