CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Bailey Medical Center, LLC

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $119
Cash Discount Price: $130
vs. Medicare Baseline: 4.29x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Bailey Medical Center, LLC is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 4.29x the Medicare baseline. Located in 10502 North 110Th East Avenue, Owasso, OK.

Cash / Self-Pay

$130

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $130 (469%)

Insurance Median: $119 (429%)

Cash: $130 (469% of Medicare)

Ins. Median: $119 (429% 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 429% of the Medicare baseline (a markup of 329%). 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
Healthcare Highways [2210]	$108 - $119	390%
Hooray Health [8000]	$108	390%
Oncology Patient Assistance Programs [2295]	$108	390%
Oscar Insurance Company [7005]	$108	390%
Osma Health Network [2345]	$108	390%
Healthscope Benefits [2290]	$114	411%
UnitedHealthcare	$114	411%
Resource One Administrators [2815]	$119	429%
Web Tpa [2115]	$119	429%
The Kempton Group Administrators [2905]	$194	700%
First Health [1375]	$219	790%
Medica [2910]	$219	790%
Multiplan [1680]	$219	790%
Healthcare Solutions [1485]	$246	887%
Healthsmart [1505]	$367	1324%
Pending Ssi [1616]	$432	1558%

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 $130.
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 Bailey Medical Center, LLC 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.