CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: University of Alabama Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $212
Cash Discount Price: Unavailable
vs. Medicare Baseline: 7.65x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at University of Alabama Hospital is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 7.65x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$212

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%)

Insurance Median: $212 (765%)

Ins. Median: $212 (765% 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 765% of the Medicare baseline (a markup of 665%). 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
Viva	$14	51%
Triwest	$26	94%
University Of Alabama	$132	476%
UnitedHealthcare	$143 - $234	516%
Aetna	$160	577%
Coventry	$171 - $212	617%
North Alabama Managed Care	$171	617%
Cigna	$176 - $201	635%
Comp One	$189	682%
Alamed	$197	711%
Construction Claims Management	$197	711%
Corvel	$210	758%
Evolutions	$210 - $237	758%
Healthcare Alliance	$210	758%
Novanet	$210 - $237	758%
Prime Health Services	$210 - $237	758%
Select Value Care	$210	758%
Starcare	$210	758%
Tethys	$210	758%
Multiplan	$216	779%
Department Of Labor	$224	808%
Geha	$224	808%
Gulf Health Plans	$224	808%
Heritage Summit Health	$224	808%
Humana	$224	808%
Mississippi Physicians	$224	808%
Phifer	$224	808%
Preferred Health Partnership	$224	808%
Southern Nuclear	$224	808%
Vantage Health Plan	$224	808%
Galaxy Health Network	$237	855%
National Provider Network	$237	855%
North Mississippi Health Link	$237	855%

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 $X.
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 University of Alabama Hospital 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.