CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Parkland Health Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $136
Cash Discount Price: $119
vs. Medicare Baseline: 4.91x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Parkland Health Center is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 4.91x the Medicare baseline. Located in 1101 W Liberty, Farmington, MO.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$136

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: $119 (429%)

Insurance Median: $136 (491%)

Cash: $119 (429% of Medicare)

Ins. Median: $136 (491% 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 491% of the Medicare baseline (a markup of 391%). 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	$27 - $148	97%
Blue Cross Blue Shield	$27 - $216	97%
Essence Healthcare [221]	$27	97%
Humana	$27 - $132	97%
UnitedHealthcare	$27 - $147	97%
Cox Health [757]	$28	101%
Devoted Health Plan [847]	$28	101%
Healthlink [225]	$96 - $149	346%
Cox Health Systems Insurance Company [220]	$109 - $129	393%
Health Alliance [224]	$109	393%
Allied Benefits [498]	$115 - $147	415%
Hope Trust [806]	$115	415%
Coresource [497]	$119	429%
Fmh Benefit Service Inc [222]	$119	429%
Mail Handlers [495]	$119	429%
Cigna	$121 - $158	437%
Healthscope Benefits [258]	$129 - $134	465%
Med-Pay [480]	$129 - $148	465%
Unicare [568]	$129 - $149	465%
Apwu Health Plan [216]	$136	491%
Nalc Health Benefit Plan [242]	$136	491%
Priority Health [648]	$136	491%
First Health Commercial [734]	$147	530%
Beechstreet [551]	$148	534%
Detego Health [868]	$148	534%
Health Systems Inc [620]	$148	534%
Healthcare Sol Mercy [609]	$148	534%
Multiplan Commercial [737]	$148	534%
Multiplan [240]	$148	534%
Phcs [244]	$148 - $158	534%
Preferred Health Professionals [561]	$149	538%
Hfn [563]	$158	570%
Medica [661]	$158	570%
Consociate [478]	$237	855%
Sarah Bush Lincoln [636]	$237	855%

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 $119.
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 Parkland Health 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.