CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Perry County Memorial Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $159
Cash Discount Price: $211
vs. Medicare Baseline: 5.74x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Perry County Memorial Hospital is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 5.74x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$211

Average discount available for prompt cash payment at this facility.

Insurance Median

$159

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: $211 (761%)

Insurance Median: $159 (574%)

Cash: $211 (761% of Medicare)

Ins. Median: $159 (574% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 574% of the Medicare baseline (a markup of 474%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$37 - $478	133%
Veterans Administration	$40 - $478	144%
Bc 130	$42 - $382	152%
Group Insurance	$42 - $478	152%
Medicare (plans)	$42 - $124	152%
Workers Compensation	$81 - $239	292%
Nsa	$95 - $295	343%
Guarantor Liable	$113 - $478	408%
Pcmh Insurnace	$126 - $478	455%
Secondary Insurance	$129 - $382	465%
UnitedHealthcare	$129 - $382	465%
Operating Engineers	$138 - $406	498%
Boilermakers Healthcare	$141 - $416	509%
Cigna	$141 - $416	509%
Great West	$141 - $478	509%
Sagxxxx	$141 - $416	509%
Champus	$162 - $478	584%
Ngs American, Inc	$162 - $478	584%
Patoka Valley	$162 - $478	584%
Southwire	$162 - $478	584%
Tricare	$162 - $478	584%
Wausau Benefits	$162 - $478	584%

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 $211.
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 Perry County Memorial 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.