CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Medical City Green Oaks Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $30
  • Cash Discount Price: $192
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Medical City Green Oaks Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.03x the Medicare baseline. Located in 7808 Clodus Fields Drive, Dallas, TX.
Cash / Self-Pay
$192

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $192 (661%)
Insurance Median: $30 (103%)
Cash: $192 (661% of Medicare)
Ins. Median: $30 (103% 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 $13 45%
Care N Care $26 - $29 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%
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%
Cenpatico $28 - $32 96%
Imperial Insurance Company $28 - $32 96%
Molina $28 - $32 96%
Triwest Health Alliance $29 100%
Verda Health Plan $33 - $38 114%
Superior $46 - $65 158%
Healthcare Highways $65 224%
Molina Healthcare $67 - $76 231%
City Of Mckinney $87 299%
Pc Texas Partners $106 365%
Physicians Coop Of Tx $106 365%
Averde Health, Inc $112 385%
Aetna $115 - $136 396%
Magellan Bh $115 396%
Value Options Behavioral Health $115 396%
Usa Managed Care $125 430%
Coastal Comp Health Networks $135 465%
Cigna $154 530%
Compsych Corporation $154 530%
Galaxy Health Network $164 564%
Three Rivers Provider Network $173 595%
Independent Medical Systems $192 661%
National Healthcare Solutions $192 661%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7808 Clodus Fields Drive, Dallas, TX 75251
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Psychiatric