CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: St Marys Good Samaritan Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $37
Cash Discount Price: $70
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at St Marys Good Samaritan Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.33x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.

Cash / Self-Pay

$70

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: $70 (253%)

Insurance Median: $37 (133%)

Cash: $70 (253% 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.

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
Blue Cross Blue Shield	$21 - $78	76%
Aetna	$29 - $86	105%
Ambetter / Centene	$29	105%
Care Improvement Plus	$29	105%
Caresource	$29	105%
Cigna	$29 - $89	105%
Coventry	$29 - $81	105%
Eon Health Plan	$29	105%
Humana	$29 - $81	105%
Kaiser Permanente	$29	105%
Molina	$29	105%
Pruitthealth Premier	$29	105%
Todays Options Pffs	$29	105%
Todays Options Ppo	$29	105%
UnitedHealthcare	$29 - $2,632	105%
Vaccn United	$29	105%
Wellcare	$29	105%
First Health	$81	292%
Phcs	$81	292%
Meritain	$86	310%
Multiplan	$92 - $94	332%
Nova	$92 - $97	332%
Three Rivers Provider Network	$97	350%
Amerigroup	$108	390%

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 $70.
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 St Marys Good Samaritan Hospital 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.