CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Neshoba County General Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Neshoba County General Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $86 (310%)
Insurance Median: $29 (105%)
Cash: $86 (310% of Medicare)
Ins. Median: $29 (105% 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
Tricare $23 83%
Magnolia Mcaid $24 87%
Molina Mcaid $24 87%
Mpcn Mcaid $24 87%
UnitedHealthcare $24 - $134 87%
Humana $26 94%
Magnolia Mcr Adv-All Other Plans $26 94%
Molina Comm-All Other Plans $26 94%
Molina Mcr Adv $26 94%
Wellcare Mcr Adv-All Plans $26 94%
First Choice Comm Ip/Op Only - All Plans $32 115%
Aetna $62 224%
Cigna $75 271%
Ahs Ip/Op Only-All Plans $92 332%
Blue Cross Blue Shield $98 354%
Affordable Health Care-All Plans $105 379%
Health Choice Ip/Op Only-All Plans $105 379%
Health Link Ip/Op Only-All Plans $105 379%
Geha-All Plans $111 400%
Multiplan-All Plans $111 400%
Mpcn Ip/Op Only-All Other Plans $154 556%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL