CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Houston Healthcare Pearland

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $30
  • Cash Discount Price: $392
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Houston Healthcare Pearland is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $392. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.03x the Medicare baseline. Located in 11100 Shadow Creek Parkway, Pearland, TX.
Cash / Self-Pay
$392

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: $392 (1349%)
Insurance Median: $30 (103%)
Cash: $392 (1349% 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 $24 - $31 83%
Oscar $25 - $77 86%
Aetna $26 - $157 89%
Blue Cross Blue Shield $26 - $137 89%
Cigna $26 - $29 89%
Devoted Health $26 - $29 89%
Humana $26 - $295 89%
Integranet Amerigroup Ipa $26 - $30 89%
Kelsey Seybold $26 - $29 89%
Triwest Healthcare Alliance $26 - $29 89%
United $26 - $177 89%
Van Lang Ipa $26 - $30 89%
Wellcare $26 - $30 89%
Wellmed $26 - $29 89%
American Health Plan $27 - $31 93%
Procare Advantage $27 - $31 93%
Provider Partners Health Plan Of Texas $27 - $31 93%
Shared Health $27 - $31 93%
Molina $28 - $32 96%
Christus (Usfhp) $29 100%
Triwest Health Alliance $29 100%
Verda Health Plan $33 - $38 114%
Community Health Choice $37 - $42 127%
Superior $37 - $45 127%
Community Health Choice Mcd $51 175%
Molina Healthcare $55 - $63 189%
Texas Childrens Health Plans $65 - $93 224%
Coventry National First Health $209 719%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Shadow Creek Parkway, Pearland, TX 77584
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals