CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Deaconess Henderson Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $39
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Deaconess Henderson Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.41x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$63

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: $63 (227%)
Insurance Median: $39 (141%)
Cash: $63 (227% 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 - $204 51%
Humana $14 - $168 51%
Medicaid / KanCare $14 - $42 51%
UnitedHealthcare $14 - $135 51%
Wellcare Ky $14 - $25 51%
Blue Cross Blue Shield $18 - $28 65%
Wellcare Il $18 - $25 65%
Ky Racing Health & Welfare Fund $23 - $61 83%
Self-Pay $23 - $63 83%
Caresource In $25 90%
Medicare (plans) $25 90%
Mhs Mco $25 90%
Molina Healthcare Of Ky $25 90%
Molina Healthcare Of Ky - Exchange $25 90%
Mytru Advantage $25 - $61 90%
Umwa $25 90%
Alliance Coal $26 - $38 94%
Caresource In Marketplace $33 119%
Wellcare Ky Commercial Exchange $33 119%
Center Care Narrow $34 - $176 123%
Center Care Open Access $34 - $176 123%
Encircle/Encore Combined $34 - $122 123%
Encircle/Encore Prime $34 - $113 123%
Amish And Mennonite Of Western Ky $38 - $42 137%
Cigna $39 - $134 141%
Claimdoc $39 - $126 141%
First Health Network (Coventry) $39 - $178 141%
Healthlink $39 - $158 141%
Hopetrust $39 141%
Hstechnology $39 - $126 141%
Iu Health Plans $39 - $108 141%
Phcs/Multiplan $39 - $176 141%
Sagamore $39 - $185 141%
Noncontracted $40 144%
One Care $50 180%
Coventry National Network $52 - $168 188%
Webster County Detention Center $52 - $168 188%
Henderson County Detention Center $58 - $189 209%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals