CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Mercy Hospital Berryville

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $57
Cash Discount Price: $92
vs. Medicare Baseline: 2.06x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Mercy Hospital Berryville is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 2.06x the Medicare baseline. Located in 214 Carter Street, Berryville, AR.

Cash / Self-Pay

$92

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $92 (332%)

Insurance Median: $57 (206%)

Cash: $92 (332% of Medicare)

Ins. Median: $57 (206% 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 206% of the Medicare baseline (a markup of 106%). 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
Blue Cross Blue Shield	$24 - $38	87%
Medicaid / KanCare	$24 - $55	87%
UnitedHealthcare	$24 - $166	87%
Aetna	$36	130%
American Health Advantage Of Mo Mcr [20264]	$36	130%
Cherokee Nation Health Serv Contracted [320066]	$36	130%
Cross Timbers Hospice [20098]	$36	130%
Dept Of Veteran Affairs Contracted [320106]	$36	130%
Elara Caring Aspire Hospice [20433]	$36	130%
Globalhealth Contracted [320145]	$36	130%
Halo Hcr Inc Hospice Contracted [320432]	$36	130%
Halo Hcr Inc Hospice [20432]	$36	130%
Humana	$36 - $120	130%
Independent Health [20197]	$36	130%
Indian Health Service Contracted [320198]	$36	130%
Indian Health Service [20198]	$36	130%
Jordan Valley Senior Care Pace [20515]	$36	130%
Kindful Hospice Contracted [320434]	$36	130%
Kindful Hospice [20434]	$36	130%
Medical Associates Health [20444]	$36	130%
Medicare (plans)	$36 - $38	130%
Mercy Hospice Okc [20252]	$36	130%
Mercy Mgd Behavioral Health Contracted [320259]	$36	130%
Pace Of The Ozarks [20518]	$36	130%
Provider Partners Health Plans Contracted [320450]	$36	130%
Qual Choice Contracted [320325]	$36	130%
Spina Bifida Hlthcare Benefit [20506]	$36	130%
Valir Pace [20503]	$36	130%
Wellfirst Health Mcr [20443]	$36	130%
Tricare	$37	133%
Cigna	$38	137%
Mercy Interfacility [20513]	$41	148%
Healthscope Contracted [320182]	$45	162%
Ambetter / Centene	$55	198%
Home State Health Plan Contracted [320187]	$55	198%
Novasys Contracted [320285]	$57	206%
Administrative Payor Contracted [320005]	$63	227%
Auxiant Contracted [320462]	$85 - $127	307%
Qual Choice Contracted [320324]	$90	325%
Healthlink Contracted [320179]	$92 - $120	332%
Mercy Benefit Admin Contracted [320251]	$92 - $120	332%
Personify Health Contracted [320051]	$92	332%
Preferred Health Plan Contracted [320522]	$92	332%
Insurance System Inc Contracted [320465]	$113	408%
Point C Contracted [320238]	$113	408%
Medica Contracted [320239]	$119	429%
90 Degree Benefits Contracted [320436]	$120	433%
Aither Health Contracted [320449]	$120	433%
Benefit Management Contracted [320052]	$120	433%
Ebms Contracted [320493]	$120	433%
Edison Health Solutions Contracted [320502]	$120	433%
First Health Contracted [320128]	$120	433%
Healthsmart Preferred Care Contracted [320184]	$120	433%
Imagine 360 Contracted [320494]	$120	433%
Ppo Plus Contracted [320310]	$120	433%
Reflect Health Contracted [320492]	$120	433%
Show-Me Health Administrators Contracted [320483]	$120	433%
United Medical Resources Contracted [320454]	$120 - $166	433%
Multiplan Contracted [320270]	$134	483%
Private Health Care Systems Contracted [320320]	$134	483%

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 $92.
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 Mercy Hospital Berryville 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.