CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $74
Cash Discount Price: $79
vs. Medicare Baseline: 2.67x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Medical West, An Affiliate of UAB Health System is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 2.67x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$74

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%)

Cash / Self-Pay: $79 (285%)

Insurance Median: $74 (267%)

Cash: $79 (285% of Medicare)

Ins. Median: $74 (267% 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 267% of the Medicare baseline (a markup of 167%). 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
Aetna	$9 - $80	32%
Cigna	$13 - $213	47%
Triwest	$26	94%
Viva	$28 - $58	101%
Phcs	$33 - $80	119%
Beech Street	$34 - $80	123%
One Health Plan	$36 - $75	130%
Geha	$38 - $80	137%
Healthchoice	$38 - $80	137%
Alamed	$43 - $90	155%
Construction Claims Management	$44 - $93	159%
Corvel	$45 - $104	162%
Multiplan	$45 - $94	162%
Novanet	$46 - $96	166%
Humana	$47 - $98	170%
Department Of Labor	$48 - $100	173%
Heritage Summit Health	$48 - $100	173%
Pnoa	$50 - $104	180%
Three Rivers	$50 - $104	180%
UnitedHealthcare	$166	599%

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 $79.
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 Medical West, An Affiliate of UAB Health System 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.