CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Crestwood Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $39
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Crestwood Medical Center is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.41x the Medicare baseline. Located in One Hospital Dr Se, Huntsville, AL.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $56 (202%)
Insurance Median: $39 (141%)
Cash: $56 (202% of Medicare)
Ins. Median: $39 (141% 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.

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
Tricare $24 87%
Node Champva $25 90%
Veterans Eval Services $25 90%
Aetna $26 94%
Alacare Hospice $26 94%
Blue Cross Blue Shield $26 - $57 94%
Cigna $26 - $99 94%
Hospice $26 94%
Humana $26 94%
Medicare (plans) $26 94%
Node Clover Health Mcr Adv $26 94%
Node Devoted Health Mcr Adv $26 94%
Node Select Health Mcr Adv $26 94%
Node Va $26 94%
Node Wellcare Mcr Adv $26 94%
Node Windsor Mcr Adv $26 94%
UnitedHealthcare $26 - $154 94%
Viva Health $26 94%
Node Prime Health Mcr Adv $27 97%
Medicaid / KanCare $28 101%
Occunet $32 115%
America'S Choice $36 - $228 130%
Alamed $38 137%
Ambetter / Centene $39 141%
Node Us Dept Of Labor $39 141%
Self Pay $51 - $60 184%
American Employee Alliance $114 411%
Wc Hart & Cooley $114 - $143 411%
Wc Acs Compiq Xerox $176 635%
Fortified $198 - $228 714%
Core Choice $200 - $209 722%
Prime Health $200 - $220 722%
Coventry $202 729%
Rockport $204 736%
Novanet $209 - $214 754%
Wc Al $220 794%
Multiplan $242 873%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Dr Se, Huntsville, AL 35801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals