CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $41
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Poplar Bluff Regional Medical Center is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.48x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $42 (152%)
Insurance Median: $41 (148%)
Cash: $42 (152% of Medicare)
Ins. Median: $41 (148% 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
Medicaid / KanCare $24 - $41 87%
Node Champva $25 90%
Tricare $25 90%
Veterans Eval Services $25 90%
Blue Access $26 94%
Blue Cross Blue Shield $26 - $43 94%
Humana $26 94%
Medicare (plans) $26 94%
Node Hospice Non Par Agree $26 94%
Node United Behavioral Health Mcr Adv $26 94%
Node Va $26 94%
UnitedHealthcare $26 - $89 94%
Node Ahs Mcr Adv $27 97%
Node Devoted Health Mcr Adv $27 97%
Node Pphp Mcr Adv $29 105%
Centurion Correctional $32 115%
Us Department Of Labor $39 141%
Self Pay $40 144%
Naphcare $49 177%
Home State Exchange $65 234%
W W Wood $65 234%
Cigna $90 - $133 325%
Evolutions Healthcare $91 328%
Tyson Foods $91 328%
Access Health Services, Llc $95 343%
Parker Hannifin $100 - $116 361%
Healthlink $104 375%
First Health $108 390%
Blue Traditional $123 - $128 444%
Coventry Wc $133 480%
Municipal Health $133 480%
Multiplan $145 523%
Phcs $145 523%
Compresults Wc $150 541%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals