CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Frye Regional Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $66
Cash Discount Price: $113
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Frye Regional Medical Center is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 2.38x the Medicare baseline. Located in 420 N Center St, Hickory, NC.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$66

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: $113 (408%)

Insurance Median: $66 (238%)

Cash: $113 (408% of Medicare)

Ins. Median: $66 (238% 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 238% of the Medicare baseline (a markup of 138%). 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
Humana	$18 - $20	65%
UnitedHealthcare	$18 - $302	65%
Aetna	$21 - $126	76%
Veteran Family Member Program	$26	94%
Blue Cross Blue Shield	$28 - $41	101%
Vaya Health	$29	105%
Amerihealth Caritas North Carolina	$30	108%
Carolina Complete Health Inc.	$30	108%
Partners Health Management	$30	108%
Wellcare Of North Carolina, Inc	$30	108%
Cigna	$51 - $102	184%
Hickory Chair	$66	238%
Sherrill Furniture	$66	238%
Ambetter / Centene	$125	451%
Vanguard Furniture	$135	487%
Meritain Health	$166	599%
Rhf Investments	$203	732%
Hancock &Amp; Moore	$263	949%
Cv Industries	$271	978%

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 $113.
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 Frye Regional Medical 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.