CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Moberly Regional Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $66
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 2.38x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Moberly Regional Medical Center is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 2.38x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

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: $92 (332%)
Insurance Median: $66 (238%)
Cash: $92 (332% of Medicare)
Ins. Median: $66 (238% 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 238% of the Medicare baseline (a markup of 138%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Medicaid / KanCare $24 - $39 87%
Tricare $25 90%
Veterans Eval Services $25 90%
Blue Access $26 94%
Blue Cross Blue Shield $26 - $87 94%
Blue Preferred $26 94%
Medicare (plans) $26 94%
Node Va $26 94%
Pathway/Pathway X $26 94%
UnitedHealthcare $26 - $187 94%
Node Devoted Health Mcr Adv $27 97%
Centurion Correctional $32 115%
Corizon $32 115%
Home State Health Plan $39 - $48 141%
Us Department Of Labor $39 141%
Healthscope Benefits $44 159%
Naphcare $49 177%
United Behavioral Health Mcd $49 177%
Self Pay $66 - $118 238%
Cigna $76 274%
Access Health Services, Llc $159 574%
Aetna $161 - $196 581%
Healthlink $171 - $196 617%
Blue Traditional $175 - $183 631%
Multiplan Primary $184 664%
Coventry Wc $196 707%
Multiplan $198 714%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals