CMS Price Transparency Data
Physical therapy (therapeutic exercise)
Facility: Methodist Mansfield Medical Center
Billing Code: 97110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97110
- Insurance Median: $31
- Cash Discount Price: $112
- vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Methodist Mansfield Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.07x the Medicare baseline. Located in 2700 E Broad Street, Mansfield, TX.
Cash / Self-Pay
$112
Average discount available for prompt cash payment at this facility.
Insurance Median
$31
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: $112 (385%)
Insurance Median: $31 (107%)
Cash: $112 (385% of Medicare)
Ins. Median: $31 (107% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $16 - $32 | 55% |
| UnitedHealthcare | $16 - $31 | 55% |
| Aetna | $29 - $47 | 100% |
| Community Hospice Of Texas [2005] | $29 | 100% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] | $29 | 100% |
| Faith Hospice [2008] | $29 | 100% |
| Generic Hospice [2011] | $29 | 100% |
| Heart To Heart Hospice [2012] | $29 | 100% |
| Homebound Cardinal Hospice [4019] | $29 | 100% |
| Hospice Plus [2013] | $29 | 100% |
| Kindful Health Hospice [4016] | $29 | 100% |
| Lions Hospice [2015] | $29 | 100% |
| Medicare (plans) | $29 - $31 | 100% |
| New Century Hospice [2003] | $29 | 100% |
| Odyssey Hospice [2018] | $29 | 100% |
| Silverado Hospice [4017] | $29 | 100% |
| Ust Health Proof [1005] | $29 | 100% |
| Vista Care Hospice [2023] | $29 | 100% |
| Vitas Hospice [2024] | $29 | 100% |
| Vna Hospice [2025] | $29 | 100% |
| Wellcare [7016] | $29 | 100% |
| American Health Advantage Of Texas [7099] | $31 | 107% |
| Cigna | $31 - $54 | 107% |
| Globalhealth [1003] | $31 | 107% |
| Humana | $31 | 107% |
| Procare Advantage [7018] | $31 | 107% |
| Southwestern Health Resources Swhr [7015] | $31 | 107% |
| Provider Partners Health Plan [7025] | $32 | 110% |
| Alternative Service Concepts [8005] | $37 | 127% |
| Oscar Insurance Company [2057] | $38 | 131% |
| Bright Healthcare [2222] | $41 | 141% |
| Molina [3017] | $42 | 145% |
| Wellpoint Marketplace Exchange [3071] | $45 | 155% |
| Kempton Group Administrators, Tower Extrusions [3061] | $47 | 162% |
| 90 Degree Benefit [3057] | $48 | 165% |
| Allied National [2031] | $48 | 165% |
| Entrust/90 Degree [2058] | $48 | 165% |
| Ambetter / Centene | $50 | 172% |
| Friday Health Plan [2061] | $50 | 172% |
| Imperial Insurance Companies [3073] | $53 | 182% |
| Web Tpa [3049] | $54 | 186% |
| Department Of Labor [8004] | $58 | 200% |
| Evry Health [1013] | $58 | 200% |
| Generic Workers Comp Tx Non Par [9010] | $58 | 200% |
| Generic Workers Comp Tx Par [8002] | $58 | 200% |
| Generic Workers Comp Tx Par [9011] | $58 | 200% |
| Sana Benefits [3069] | $58 | 200% |
| Tristar Risk Management [8006] | $58 | 200% |
| Velocity [3070] | $58 | 200% |
| Medicaid / KanCare | $59 - $72 | 203% |
| Health Plans Inc [5017] | $73 | 251% |
| Medical Cost Containment Professionals [3059] | $73 | 251% |
| Dart Member Care [3039] | $79 | 272% |
| Healthscope Benefits [2052] | $79 | 272% |
| Healthscope Benefits [3063] | $79 | 272% |