CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Gibson General Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $51
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Gibson General Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.84x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $84 (303%)
Insurance Median: $51 (184%)
Cash: $84 (303% of Medicare)
Ins. Median: $51 (184% 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
Blue Cross Blue Shield $18 - $77 65%
Medicaid / KanCare $18 65%
Meridiancare (Il) $18 - $51 65%
Meridianhealth (Il) $18 65%
Ky Racing Health & Welfare Fund $23 - $85 83%
Self-Pay $23 - $84 83%
UnitedHealthcare $23 - $111 83%
Caresource $25 90%
Mdwise Plans $25 90%
Mhs $25 90%
Aetna $26 - $123 94%
Alliance Coal $26 - $40 94%
Caresource Just For Me $26 - $51 94%
Medicare (plans) $26 - $51 94%
Meridiancomplete (Il) $26 - $51 94%
Mytruadvantage $26 - $51 94%
Va Ccn $26 - $51 94%
Ambetter / Centene $32 - $51 115%
Caresource In Marketplace $34 - $38 123%
Encircle/Encore Combined $34 - $134 123%
Encircle/Encore Prime $34 - $118 123%
Claimdoc $36 - $134 130%
Chambercare $39 - $126 141%
Cigna $39 - $139 141%
Deaconess Onecare $39 - $131 141%
First Health $39 - $142 141%
Healthlink Hmo $39 - $142 141%
Healthlink Ppo $39 - $142 141%
Hopetrust $39 - $134 141%
Hstechnology $39 - $134 141%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $39 - $139 141%
Noncontracted $42 - $81 152%
Gibson County Sheriff $55 - $134 198%
Integrated Health $58 - $142 209%
Principal Health Care $58 - $142 209%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1808 Sherman Drive, Princeton, IN 47670
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals