CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Henry Ford Allegiance Health

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $26
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Henry Ford Allegiance Health is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 0.94x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $35 (126%)
Insurance Median: $26 (94%)
Cash: $35 (126% of Medicare)
Ins. Median: $26 (94% 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 - $109 51%
Blue Cross Blue Shield $14 - $67 51%
Hap Caresource $14 - $18 51%
Mclaren $14 51%
Meridian Health Plan Of Mi $14 - $38 51%
Priority Health $14 - $44 51%
Molina $15 - $26 54%
Mclaren Health Plan Inc. $18 - $26 65%
Meridian $18 65%
Priority $19 - $26 69%
Humana $21 - $27 76%
Hap $22 - $104 79%
Bcn $26 - $35 94%
Cca Health Mi $26 94%
Health Alliance Plan Of Michigan $26 94%
Thomas Pace $26 94%
Vaccn $26 94%
United Behavioral Health, Inc. $27 97%
Vitalcore Physicians Group Of Mi $33 - $84 119%
Cigna $41 - $149 148%
Cofinity $43 155%
Molina Mi Health Link $50 180%
Mclaren Health $84 303%
Jackson County Offiice Of The Sheriff $87 314%
Immergrun Inc $100 361%
University Of Michigan $120 433%
UnitedHealthcare $124 447%
Cofinity Group Health $150 541%
Frontpath $150 541%
Multiplan, Inc. $150 541%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 205 N East Ave, Jackson, MI 49201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals