CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Good Samaritan Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $45
Cash Discount Price: $60
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Good Samaritan Medical Center is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.62x the Medicare baseline. Located in 235 North Pearl Street, Brockton, MA.

Cash / Self-Pay

$60

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

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: $60 (216%)

Insurance Median: $45 (162%)

Cash: $60 (216% of Medicare)

Ins. Median: $45 (162% 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.

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	$31 - $86	112%
Blue Cross Blue Shield	$31 - $215	112%
Humana	$31	112%
Medicare (plans)	$31 - $32	112%
Neighborhood Pace [1206]	$31	112%
Ubh Hphc [8016]	$31	112%
United Community Plan [1202]	$31	112%
UnitedHealthcare	$31	112%
Veterans Admin [9003]	$31	112%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010]	$31	112%
Cca [1215]	$32	115%
Zzzcca Onecare [1216]	$32	115%
Eternalhealth [1227]	$33	119%
Fallon [8008]	$40	144%
Unicare [8004]	$45	162%
Wellpoint [2034]	$45	162%
Senior Whole Health [1210]	$46	166%
Mass General Brigham Health Plan Commercial [8009]	$77	278%
Mass General Brigham Health Plan Prime [7003]	$77	278%
Cigna	$80 - $101	289%
Meritain Health [1023]	$86	310%
Tufts [8002]	$86 - $101	310%
Harvard Pilgrim Health Care [8001]	$222	801%
Hsn Bad Debt [4003]	$395	1425%
Hsn Confidential [4007]	$395	1425%
Hsn Dental [4006]	$395	1425%
Hsn Partial [4002]	$395	1425%
Hsn [4001]	$395	1425%

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 $60.
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 Good Samaritan 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.