CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Deaconess Illinois Crossroads

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $52
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Deaconess Illinois Crossroads is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.88x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$52

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $52 (188%)
Insurance Median: $52 (188%)
Cash: $52 (188% of Medicare)
Ins. Median: $52 (188% 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 - $185 65%
Blue Cross Blue Shield $18 - $111 65%
Meridian Health Plan $18 - $26 65%
Molina Healthcare Of Illinois $18 - $26 65%
Wellcare $18 - $26 65%
Self-Pay $23 - $52 83%
Cigna $25 - $91 90%
Alliance Coal $26 - $43 94%
Humana $26 - $183 94%
Mytru Advantage $26 94%
Umwa $26 94%
UnitedHealthcare $26 - $136 94%
Care Improvement Plus $27 97%
Deaconess Onecare $39 - $129 141%
Alter-Net Medical Services, Inc. $41 - $82 148%
Noncontracted $41 - $42 148%
Prime Health Services $49 - $176 177%
Guardian Resources, Inc. $55 - $197 198%
Healthcare'S Finest Network (Hfn) $55 - $199 198%
Medicalcontrol Network Solutions $55 - $199 198%
National Provider Network $55 - $199 198%
Beech Street $57 - $206 206%
Three Rivers Provider Network $57 - $204 206%
Hope Trust $75 - $82 271%
Wexford Health Sources $106 - $164 382%
Encore Prime/Elite/Elite + $129 - $133 465%
Encore Combined $143 - $148 516%
Great West Healthcare Of Illinois $176 635%
Multiplan - Primary Network - Phcs $184 664%
Healthlink $188 - $199 678%
Coventry Healthcare $197 711%
First Health $197 711%
Multiplan - Complementary Network $200 722%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals