CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Deaconess Hospital Inc

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $39
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Deaconess Hospital Inc is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.41x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $69 (249%)
Insurance Median: $39 (141%)
Cash: $69 (249% of Medicare)
Ins. Median: $39 (141% 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 $14 - $118 51%
Humana $14 - $52 51%
Medicaid / KanCare $14 - $52 51%
UnitedHealthcare $14 - $251 51%
Blue Cross Blue Shield $18 - $77 65%
Meridiancomplete (Il) $18 65%
Meridianhealth (Il) $18 65%
Youthcare (Meridian Il) $18 65%
Youthcare (Wellcare Il) $18 65%
Mhnet $20 72%
Ky Racing Health & Welfare Fund $23 - $69 83%
Self-Pay $23 - $69 83%
United Behavioral Health $23 83%
Caresource In $25 90%
Medicare (plans) $26 94%
Meridiancare (Il) $26 94%
Molina (Il) Mmai $26 94%
Molina Il $26 94%
Mytru Advantage $26 94%
Triwest Vapc3 $26 94%
Wellcare (Il) Mmai $26 94%
Alliance Coal $27 - $50 97%
Ambetter / Centene $32 - $126 115%
Caresource In Marketplace $34 123%
Center Care Narrow Select $34 - $124 123%
Center Care Open Access $34 - $134 123%
Encircle/Encore Combined $34 - $109 123%
Encircle/Encore Elite+ $34 - $104 123%
Encircle/Encore Prime $34 - $99 123%
Patoka Valley Health Care (80/20 Plan) $34 - $105 123%
Patoka Valley Health Care (90/10 Plan) $34 - $105 123%
Allied National $36 - $126 130%
Claimdoc $36 - $126 130%
Healthscope $36 - $125 130%
Chamber Care $39 - $126 141%
Cigna $39 - $147 141%
Claritev (Formerly Phcs Multiplan) $39 - $127 141%
Deaconess Onecare $39 - $104 141%
First Health $39 - $155 141%
Hopetrust $39 - $126 141%
Hstechnology $39 - $126 141%
Iu Health Network $39 - $108 141%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $39 - $134 141%
Noncontracted $42 152%
Naphcare $43 155%
Parkview Signature Care $44 - $143 159%
Healthlink $49 - $178 177%
National Rural Electric $57 - $185 206%
Immergrun $88 317%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals