CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Southeast Georgia Health System- Brunswick Campus

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $106
Cash Discount Price: Unavailable
vs. Medicare Baseline: 3.82x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Southeast Georgia Health System- Brunswick Campus is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 3.82x the Medicare baseline. Located in 2415 Parkwood Drive, Brunswick, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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%)

Insurance Median: $106 (382%)

Ins. Median: $106 (382% 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 382% of the Medicare baseline (a markup of 282%). 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
Amerigroup_Community_Care	$23	83%
Caresource_Georgia_Families	$23	83%
Peachstate_Health_Plan	$23	83%
Aetna	$26 - $144	94%
Blue Cross Blue Shield	$26 - $120	94%
Caresource	$26 - $38	94%
Clover_Health	$26	94%
Humana	$26 - $150	94%
UnitedHealthcare	$26	94%
United_Healthcare_Veterans_Administration	$26	94%
Devoted_Health	$27	97%
Pruitthealth	$27	97%
Ambetter / Centene	$41	148%
Sea_Island	$92 - $120	332%
Sghs_Meritain	$92 - $120	332%
Coventryone_Hix	$99 - $128	357%
United_Healthcare	$100 - $130	361%
Medishare	$111 - $144	400%
Choicecare	$116 - $150	418%
Cigna	$116 - $150	418%
Industry_Buying_Group_Ibg	$116 - $150	418%
First_Health_Southcare	$117 - $152	422%
One_Health_Great_West	$117 - $152	422%
Pponext	$124 - $161	447%

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 $X.
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 Southeast Georgia Health System- Brunswick Campus 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.