CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Jeff Davis Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $54
Cash Discount Price: $25
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Jeff Davis Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.95x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $25 (90%)

Insurance Median: $54 (195%)

Cash: $25 (90% of Medicare)

Ins. Median: $54 (195% 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
Humana	$14 - $61	51%
Medicaid / KanCare	$14 - $39	51%
Peach_State	$14	51%
Wellcare	$14	51%
Medicare (plans)	$22 - $23	79%
Blue Cross Blue Shield	$23 - $54	83%
Care_Improvement_Plus	$23	83%
Pen_Network	$40	144%
Coventry_Hmo	$50	180%
Coventry_Pos	$50	180%
Uhc_Hmo	$54	195%
Uhc_Indemnity	$54	195%
Uhc_Ppo	$54	195%
Coventry_Ppo	$55	198%
Beech_Street	$58	209%
Care_Source	$58	209%
Cigna	$58	209%
One_Health_Ppo	$58	209%
Choicecare	$61	220%
Community_Care_Network	$61	220%
Georgia_Hospital_Network	$61	220%
Industry_Buying_Group	$61	220%
Novanet	$61	220%
Principal_Health_Care_Of_Georgia	$61	220%
Three_Rivers_Provider_Network	$61	220%
Usa_Managed_Care	$61	220%
Memorial_Health_Partners	$65	234%
Tricare	$67	242%
Multiplan	$68	245%

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 $25.
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 Jeff Davis 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.