CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Tift Regional Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $48
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Tift Regional Medical Center is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.73x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $98 (354%)
Insurance Median: $48 (173%)
Cash: $98 (354% of Medicare)
Ins. Median: $48 (173% 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
Va Contract $19 69%
Hospice $25 90%
Medicare (plans) $25 90%
Tricare $25 - $26 90%
Aetna $26 - $169 94%
Blue Cross Blue Shield $26 - $196 94%
Clover Health $26 94%
UnitedHealthcare $26 - $166 94%
Wellcare $26 - $38 94%
Humana $27 - $98 97%
Peach State Health Plan $28 101%
Pruitt Health Premier $28 101%
Health One Alliance $37 133%
Caresource Marketplace Exchange $39 141%
Amerigroup $44 159%
Medicaid / KanCare $44 159%
Zelis Network Solutions $44 - $51 159%
Peachstate $46 166%
Caresource $48 173%
Self Pay 50 $98 354%
Misc Commercial Insurance Plans $176 635%
Self Pay $176 635%
Cigna $179 646%
Misc Non Contracted Commercial Plans $196 707%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 E 18Th Street, Tifton, GA 31794
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals