Therapy Procedure Using Functional Activities Cost in Texas
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 356 Texas hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $117
📉 Low $14.60
📈 High $943
🏥 356 hospitals
🏛️ 278 with insurance contracts
🇺🇸 Medicare $34.82
Hospital comparison — Texas
Sorted by cash price (lowest first). Showing top 60 of 356 hospitals.
Billed more than $117 for this? That gap is evidence.
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| Hospital | Cash | BCBS | Aetna | UHC | Cigna | MultiPlan | Humana | Centene | Molina |
|---|---|---|---|---|---|---|---|---|---|
| UT HEALTH JACKSONVILLE JACKSONVILLE |
$14.60 | — | — | — | — | — | — | — | — |
| UT HEALTH CARTHAGE CARTHAGE |
$14.60 | — | — | — | — | — | — | — | — |
| UT HEALTH QUITMAN QUITMAN |
$14.89 | — | — | — | — | — | — | — | — |
| NOCONA GENERAL HOSPITAL NOCONA |
$16.29 | — | — | $75.00 | $84.00 | $92.40 | $78.75 | — | — |
| UT HEALTH NORTH CAMPUS TYLER TYLER |
$16.70 | — | — | — | — | — | — | — | — |
| UT HEALTH PITTSBURG PITTSBURG |
$19.01 | — | — | — | — | — | — | — | — |
| NACOGDOCHES MEMORIAL HOSPITAL NACOGDOCHES |
$22.00 | $40.00 | $58.00 | $134 | — | $58.00 | $35.00 | — | $37.00 |
| BSA HARRINGTON CANCER CENTER AMARILLO |
$25.10 | — | — | — | — | — | — | — | — |
| BSA HOSPITAL AMARILLO |
$25.10 | — | — | — | — | — | — | — | — |
| UT HEALTH ATHENS ATHENS |
$26.50 | — | — | — | — | — | — | — | — |
| UT HEALTH HENDERSON HENDERSON |
$29.20 | — | — | — | — | — | — | — | — |
| MEDICAL CITY ARGYLE ARGYLE |
$29.72 | $13.20 | $15.66 | $5.23 | $4.01 | $20.80 | $29.94 | $2.08 | $32.63 |
| MEDICAL CITY DENTON DENTON |
$29.72 | $13.20 | $15.66 | $5.23 | $4.01 | $20.80 | $29.94 | $2.08 | $32.63 |
| PAMPA REGIONAL MEDICAL CENTER PAMPA |
$32.00 | $34.02 | $33.34 | $51.03 | — | — | — | — | $35.72 |
| NORTH TEXAS MEDICAL CENTER GAINESVILLE |
$33.00 | $34.00 | $34.00 | $34.00 | $53.00 | $93.00 | $34.00 | — | $34.00 |
| UT HEALTH EAST TEXAS REHABILITATION HOSPITAL TYLER |
$33.50 | — | — | — | — | — | — | — | — |
| MISSION REGIONAL MEDICAL CENTER MISSION |
$34.00 | $34.02 | $34.02 | $34.02 | $34.02 | — | — | $34.02 | $35.72 |
| LAMB HEALTHCARE CENTER LITTLEFIELD |
$34.00 | $32.00 | $45.00 | — | $55.00 | — | $63.00 | $35.00 | — |
| HARLINGEN MEDICAL CENTER HARLINGEN |
$34.00 | $34.02 | $33.98 | $34.02 | $34.02 | — | $34.02 | $34.02 | $35.72 |
| NORTHWEST HILLS SURGICAL HOSPITAL AUSTIN |
$34.20 | $69.63 | $71.51 | — | — | — | — | — | — |
| UT HEALTH TYLER HOSPITAL TYLER |
$34.80 | — | — | — | — | — | — | — | — |
| DALLAS MEDICAL CENTER DALLAS |
$35.00 | $35.08 | $35.08 | $35.08 | $35.08 | — | $35.08 | $35.08 | $36.83 |
| DALLAS REGIONAL MEDICAL CENTER MESQUITE |
$35.00 | $34.03 | $35.08 | $35.08 | $35.08 | $36.83 | — | $35.08 | $36.83 |
| BOMAR REHABILITATION CENTER NACOGDOCHES |
$36.00 | $67.00 | $97.00 | $134 | — | $97.00 | — | — | $121 |
| CHAMBERS HEALTH ANAHUAC |
$36.00 | $14.00 | $23.00 | — | $23.00 | — | — | — | — |
| ASCENSION SETON MEDICAL CENTER HAYS KYLE |
$37.26 | $69.63 | $33.49 | $33.49 | — | — | $33.49 | $33.49 | — |
| ASCENSION SETON MEDICAL CENTER AUSTIN AUSTIN |
$37.26 | $69.63 | $33.49 | $33.49 | — | — | $33.49 | $33.49 | — |
| ASCENSION SETON SOUTHWEST HOSPITAL AUSTIN |
$37.26 | $69.63 | $33.49 | $34.16 | — | — | $33.49 | $33.49 | — |
| ASCENSION SETON NORTHWEST HOSPITAL AUSTIN |
$37.26 | $69.63 | $33.49 | $34.16 | — | — | $33.49 | $33.49 | — |
| COLUMBUS COMMUNITY HOSPITAL COLUMBUS |
$37.50 | $108 | — | $125 | — | — | — | — | — |
| DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS AUSTIN |
$39.96 | $69.63 | $71.51 | — | — | — | — | — | — |
| ASCENSION SETON SMITHVILLE REGIONAL HOSPITAL SMITHVILLE |
$40.14 | $69.63 | $71.51 | — | — | — | — | — | — |
| ASCENSION SETON BASTROP BASTROP |
$40.14 | $69.63 | $33.49 | $34.16 | — | — | $33.49 | $33.49 | — |
| HUNTSVILLE MEMORIAL HOSPITAL HUNTSVILLE |
$43.00 | $85.00 | $21.00 | $34.00 | $204 | $153 | $137 | $34.00 | $39.00 |
| DRISCOLL CHILDREN'S HOSPITAL CORPUS CHRISTI |
$43.12 | — | — | — | — | — | — | — | — |
| ASCENSION PROVIDENCE HOSPITAL WACO |
$43.20 | $67.59 | $34.16 | $34.16 | — | — | — | $50.23 | — |
| CHRISTUS SANTA ROSA HOSPITAL - WESTOVER HILLS SAN ANTONIO |
$44.88 | $98.95 | $23.91 | $259 | $283 | — | $208 | — | — |
| COGDELL MEMORIAL HOSPITAL SNYDER |
$45.00 | $22.00 | $22.00 | $41.00 | $26.00 | — | $22.00 | — | — |
| FAITH COMMUNITY HOSPITAL JACKSBORO |
$45.42 | — | $78.50 | $71.80 | $58.30 | — | — | — | — |
| LUBBOCK HEART HOSPITAL LUBBOCK |
$46.30 | $34.02 | $26.80 | $34.02 | $85.00 | $75.00 | $34.02 | $34.02 | — |
| FISHER COUNTY HOSPITAL DISTRICT ROTAN |
$47.00 | $31.00 | $47.00 | $55.00 | $47.00 | — | — | — | — |
| ASCENSION SETON HIGHLAND LAKES BURNET |
$48.15 | $69.63 | $71.51 | — | — | — | — | — | — |
| ASCENSION SETON EDGAR B DAVIS HOSPITAL LULING |
$48.15 | $69.63 | $71.51 | — | — | — | — | — | — |
| DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY EDINBURG |
$49.50 | — | — | — | — | — | — | — | — |
| CRANE MEMORIAL HOSPITAL CRANE |
$50.00 | $45.00 | — | $35.00 | — | — | — | — | — |
| ASPIRE HOSPITAL CONROE |
$50.00 | $70.00 | $70.00 | — | $51.00 | — | $128 | — | — |
| ROLLING PLAINS MEMORIAL HOSPITAL SWEETWATER |
$50.00 | $62.00 | $65.00 | $58.00 | $62.00 | — | $54.00 | — | — |
| MIDCOAST MEDICAL CENTER CROCKETT CROCKETT |
$51.60 | — | — | — | — | — | — | — | — |
| TMC BONHAM HOSPITAL BONHAM |
$52.80 | $103 | $115 | $71.00 | $77.00 | — | — | — | — |
| CLAY COUNTY MEMORIAL HOSPITAL HENRIETTA |
$53.00 | $24.00 | $19.00 | — | $21.00 | — | — | — | — |
| EASTLAND MEMORIAL HOSPITAL EASTLAND |
$53.00 | $71.00 | — | $65.00 | — | — | — | — | — |
| KNOX CITY CLINIC KNOX CITY |
$53.00 | $29.00 | $42.00 | — | — | $32.00 | $32.00 | $32.00 | — |
| PARKVIEW HOSPITAL WHEELER |
$53.55 | $63.00 | — | $54.81 | $21.90 | — | — | — | — |
| COVENANT HOSPITAL LEVELLAND LEVELLAND |
$55.02 | $33.83 | $34.88 | $36.80 | — | — | — | — | — |
| HANSFORD COUNTY HOSPITAL SPEARMAN |
$56.00 | $53.00 | — | — | $68.00 | — | — | — | — |
| ST LUKES HEALTH MEMORIAL LUFKIN LUFKIN |
$56.25 | $87.14 | $236 | $93.75 | $100 | $255 | $191 | — | — |
| ST. LUKE'S HEALTH MEMORIAL HOSPITAL SAN AUGUSTINE SAN AUGUSTINE |
$56.25 | $87.14 | $93.75 | $67.50 | $100 | $255 | $262 | — | — |
| ST LUKE'S HEALTH - MEMORIAL LIVINGSTON LIVINGSTON |
$56.25 | $87.14 | $229 | $82.50 | $100 | $255 | $180 | — | — |
| NORTH RUNNELS HOSPITAL WINTERS |
$57.00 | $61.00 | $81.00 | — | $61.00 | — | — | — | — |
| YOAKUM COUNTY HOSPITAL DENVER CITY |
$59.09 | — | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97530, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $98.00 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $117 for this?
That is the median of what the 356 Texas hospitals above publish for Therapy procedure using functional activities — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97530 in Texas, Medicare reimburses about $34.82 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Texas range from $14.60 to $943 — that means hospital cash prices are typically 3.4x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does therapy procedure using functional activities cost in Texas?
- Cash prices for therapy procedure using functional activities (CPT 97530) in Texas range from $14.60 to $943, with a median of $117. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in Texas?
- The cheapest Texas hospital published cash price for this procedure is $14.60. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Therapy procedure using functional activities in nearby states
Other procedures in Texas
Methodology. Cash prices and insurance-negotiated rates published by each Texas facility under federal price transparency rules (45 CFR § 180). CPT code 97530 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.