CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Mercy Regional Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $119
Cash Discount Price: $55
vs. Medicare Baseline: 4.29x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Mercy Regional Medical Center is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 4.29x the Medicare baseline. Located in 800 E Main, Ville Platte, LA.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $55 (198%)

Insurance Median: $119 (429%)

Cash: $55 (198% of Medicare)

Ins. Median: $119 (429% 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 429% of the Medicare baseline (a markup of 329%). 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
Aetna	$13 - $29	47%
Mcd Hmo Amerigroup	$13 - $29	47%
Mcd Hmo La Care	$13 - $29	47%
Mcd Hmo La Hlth Cr Connct	$13 - $29	47%
Medicaid / KanCare	$13 - $242	47%
UnitedHealthcare	$13 - $30	47%
Mcd Hmo Com Hlth Solution	$14 - $32	51%
Tricare	$20 - $242	72%
Pp0/Manged Care	$31 - $242	112%
Charity/Map	$32 - $242	115%
Ppo/Manged Care	$52 - $242	188%
Blue Cross Blue Shield	$53	191%
American Postal Workers	$84 - $194	303%
Work Comp	$94 - $218	339%
Commerical	$105 - $242	379%
Commerical Ip	$105 - $242	379%
Mcr American Hlth Adv	$105 - $242	379%
Medicare (plans)	$105 - $242	379%
Mra Auto/Liability	$105 - $242	379%

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 $55.
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 Mercy Regional Medical Center 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.