CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Jay Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $37
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Jay Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.33x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $15 (54%)
Insurance Median: $37 (133%)
Cash: $15 (54% of Medicare)
Ins. Median: $37 (133% 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
Wellcare $8 - $32 29%
Aetna $15 - $70 54%
Bc Fl $15 - $32 54%
Humana $15 - $36 54%
UnitedHealthcare $15 - $223 54%
Cha Health Plan $23 83%
Simply Healthcare Healthy Kids $23 83%
Staywell $24 87%
Sunshine Health $24 87%
Hospice Emerald Coast $33 - $73 119%
Hospice Regency $33 - $73 119%
Hospice Vitas $33 - $73 119%
Medicare (plans) $36 130%
Cigna $37 - $146 133%
Fl Community Care Ltc $37 133%
Private Healthcare $43 - $95 155%
First Health $47 - $104 170%
Wc Corvel $47 - $139 170%
Multiplan $59 - $130 213%
Fl Blue $74 - $293 267%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals