CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Baptist Memorial Hospital Union County

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $104
Cash Discount Price: $39
vs. Medicare Baseline: 3.75x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Baptist Memorial Hospital Union County is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 3.75x the Medicare baseline. Located in 200 Hwy 30 West, New Albany, MS.

Cash / Self-Pay

$39

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $39 (141%)

Insurance Median: $104 (375%)

Cash: $39 (141% of Medicare)

Ins. Median: $104 (375% 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 375% of the Medicare baseline (a markup of 275%). 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	$18 - $103	65%
Advanced Health Systems Inc.	$29	105%
Blue Cross Blue Shield	$29	105%
Magnolia Ms	$33 - $35	119%
Ppo Holdings	$60 - $63	216%
Magnolia Regional Health Center	$64 - $66	231%
Littler	$80 - $82	289%
Molina	$80 - $82	289%
Mpcn	$83 - $86	299%
Cigna	$87 - $91	314%
Primewell	$95 - $99	343%
Humana	$105 - $109	379%
First Choice Health Plan Of Ms	$111 - $116	400%
Multiplan	$119 - $124	429%
Novasys	$119 - $124	429%
Christian Health Aid	$127 - $132	458%
Ppo Plus	$135 - $140	487%
Qca	$143 - $148	516%
UnitedHealthcare	$160 - $237	577%

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 $39.
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 Baptist Memorial Hospital Union County 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.