CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Atrium Health Navicent Peach

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $44
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Atrium Health Navicent Peach is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.59x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $44 (159%)
Insurance Median: $44 (159%)
Cash: $44 (159% of Medicare)
Ins. Median: $44 (159% 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
Aetna $18 - $52 65%
Blue Cross Blue Shield $18 - $68 65%
Georgia Health Advantage $18 - $30 65%
Humana $18 - $75 65%
Pruitt Health $18 - $31 65%
UnitedHealthcare $18 - $55 65%
Care Source $19 - $30 69%
Clover $19 - $30 69%
Eon Health $19 - $30 69%
Ambetter / Centene $26 - $45 94%
Alliant $31 - $43 112%
Cigna $36 - $64 130%
Securehealth $41 - $57 148%
Multiplan $57 - $70 206%
Novanet $70 253%
Three Rivers Provider Network $75 271%
Beechstreet $82 296%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1960 Highway 247 Connector, Byron, GA 31008
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals