CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Curry General Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $139
Cash Discount Price: $146
vs. Medicare Baseline: 5.01x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Curry General Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 5.01x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$146

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $146 (527%)

Insurance Median: $139 (501%)

Cash: $146 (527% of Medicare)

Ins. Median: $139 (501% 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 501% of the Medicare baseline (a markup of 401%). 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
Tricare	$45	162%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$46	166%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$63	227%
Medicare (plans)	$63 - $95	227%
Blue Cross Blue Shield	$74 - $146	267%
First Choice Health Admin [1294]	$82	296%
First Choice [528]	$82	296%
Medicaid / KanCare	$92 - $95	332%
Department Of Corrections [1051]	$95	343%
Coordinated Care Commercial [1649]	$124	447%
Pacificsource [1148]	$124	447%
Moda [512]	$125 - $131	451%
Multiplan [1131]	$133	480%
Asuris [1258]	$139	501%
Operating Engineers [1144]	$139	501%
Regence [1351]	$139 - $146	501%
Cigna	$143 - $146	516%
Coventry First Health Managed Care [1774]	$143	516%
Coventry Health [1046]	$143	516%
Providence Health Plan Plm Alt [1692]	$143	516%
Providence Health Plan [567]	$143	516%
Aetna	$146	527%
Employee Bene Admin Mgmt [525]	$146	527%
Geha [531]	$146	527%
Mailhandlers Benefit Pln [547]	$146	527%
Meritain [550]	$146	527%
Nw Sheet Metal Workers [597]	$146	527%
Trustmark [524]	$146	527%
UnitedHealthcare	$146	527%
Zenith Administrators [586]	$146	527%
Allcare Alt [2598]	$300	1082%
Allcare [1695]	$300	1082%

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 $146.
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 Curry General Hospital 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.