CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Marion Communtiy Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $277
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Marion Communtiy Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$277

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $277 (999%)
Insurance Median: $29 (105%)
Cash: $277 (999% of Medicare)
Ins. Median: $29 (105% 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
Devoted Health $24 - $27 87%
Humana $24 - $55 87%
Ndms Definitive Care $24 - $27 87%
United $24 - $125 87%
Va Purchased Care Program $24 - $27 87%
Veterans Evaluation Services $24 - $27 87%
Wellmed $24 - $27 87%
American Health Plan $25 - $29 90%
Avmed $25 - $78 90%
Blue Cross Blue Shield $25 - $28 90%
Freedom Optimum $25 - $28 90%
Sunshine State $25 - $29 90%
Wellcare $25 - $29 90%
Aetna $26 - $83 94%
Align Senior Care $26 - $29 94%
Centurion $26 - $30 94%
Cigna $26 - $115 94%
Clear Spring Health $26 - $30 94%
Florida Complete Care $26 - $29 94%
Gold Kidney Of Florida $26 - $30 94%
Secur $26 - $30 94%
Careplus $27 - $31 97%
Ultimate Health Plan $28 - $31 101%
Corvel Corporation $29 105%
Longevity Health Plan $29 - $33 105%
Prime Health $30 108%
Careworks (Rockport Community) $31 112%
Marion County Schools $31 112%
Simply Healthcare $35 126%
Naphcare $50 - $66 180%
University Ma Federal Corrections $50 - $57 180%
Wellpath $50 - $66 180%
Molina Healthcare $53 - $89 191%
Evolutions $64 231%
Evolutions Healthcare $64 231%
Sunshine State Health Plan $71 256%
Plotkin Health $139 501%
Prime Health Sheriff $139 501%
Multiplan $216 779%
Ppo Next $235 848%
Novanet $249 898%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals