CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Parkland Health Center - Bonne Terre

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $136
Cash Discount Price: $110
vs. Medicare Baseline: 4.91x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Parkland Health Center - Bonne Terre is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 4.91x the Medicare baseline. Located in 7245 Raider Road, Bonne Terre, MO.

Cash / Self-Pay

$110

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: $110 (397%)

Insurance Median: $136 (491%)

Cash: $110 (397% 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
Medica [662]	$28	101%
Aetna	$83 - $137	299%
Healthlink [225]	$89 - $138	321%
Cox Health Systems Insurance Company [220]	$101 - $119	364%
Health Alliance [224]	$101	364%
Allied Benefits [498]	$106 - $136	382%
Hope Trust [806]	$106	382%
Coresource [497]	$110	397%
Fmh Benefit Service Inc [222]	$110	397%
Mail Handlers [495]	$110	397%
Cigna	$114 - $146	411%
Healthscope Benefits [258]	$119 - $124	429%
Med-Pay [480]	$119 - $137	429%
Unicare [568]	$119 - $138	429%
Humana	$122	440%
UnitedHealthcare	$124 - $136	447%
Apwu Health Plan [216]	$128	462%
Nalc Health Benefit Plan [242]	$128	462%
Priority Health [648]	$128	462%
First Health Commercial [734]	$136	491%
Beechstreet [551]	$137	494%
Detego Health [868]	$137	494%
Health Systems Inc [620]	$137	494%
Healthcare Sol Mercy [609]	$137	494%
Multiplan Commercial [737]	$137	494%
Multiplan [240]	$137	494%
Phcs [244]	$137 - $146	494%
Preferred Health Professionals [561]	$138	498%
Hfn [563]	$146	527%
Medica [661]	$146	527%
Blue Cross Blue Shield	$156 - $211	563%
Consociate [478]	$227	819%
Sarah Bush Lincoln [636]	$227	819%

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 $110.
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 - Bonne Terre 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.