CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Colleton Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $30
  • Cash Discount Price: $472
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Colleton Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $472. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.08x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$472

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $472 (1703%)
Insurance Median: $30 (108%)
Cash: $472 (1703% of Medicare)
Ins. Median: $30 (108% 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
Blue Choice $15 54%
United $15 - $271 54%
Absolute Total Care $22 - $92 79%
Aetna $22 - $295 79%
Arcadian $22 - $27 79%
Blue Cross Blue Shield $22 - $484 79%
Devoted Health $22 - $27 79%
Humana $22 - $459 79%
Molina $22 - $92 79%
Odyssey Hospice $22 - $27 79%
United Behavioral Health $22 - $27 79%
Wellcare $22 - $27 79%
Boldage Pace $23 - $27 83%
Clover $23 - $28 83%
Eon Health $23 - $28 83%
Cigna $24 - $329 87%
Align Networks $25 - $30 90%
Universal Healthcare Group $26 - $32 94%
Corvel Corporation $30 - $37 108%
Employer'S Health Network $30 - $37 108%
Prime Health $30 - $434 108%
Heritage Summit $32 - $39 115%
Seven Corners $38 - $47 137%
Medical Development $46 - $54 166%
Naphcare $46 - $56 166%
Sc State Employees $52 - $87 188%
Nhc Advantage $90 - $97 325%
Pruitt Health $90 - $97 325%
Blue Choice Health Plan $145 - $152 523%
Select Health $203 - $219 732%
Employers Health Network $212 - $230 765%
Value Option $236 - $255 851%
Vocational Rehab $255 - $275 920%
Medcost $266 - $372 960%
Mhnet $354 - $382 1277%
Evernorth $378 - $408 1364%
Multiplan $401 - $434 1447%
North American Administrators $401 - $434 1447%
First Health $425 - $459 1533%
Novanet $425 - $459 1533%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals