CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Trident Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $27
  • Cash Discount Price: $521
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Trident Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $521. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 0.97x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.
Cash / Self-Pay
$521

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $521 (1880%)
Insurance Median: $27 (97%)
Cash: $521 (1880% of Medicare)
Ins. Median: $27 (97% 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 - $234 54%
Advantage Hospice $23 - $27 83%
Agape Hospice $23 - $27 83%
Arcadian $23 - $27 83%
Blue Cross Blue Shield $23 - $495 83%
Companion $23 - $27 83%
Devoted Health $23 - $27 83%
Humana $23 - $391 83%
Odyssey Hospice $23 - $27 83%
United Behavioral Health $23 - $27 83%
Absolute Total Care $24 - $94 87%
Aetna $24 - $27 87%
Boldage Pace $24 - $27 87%
Molina $24 - $94 87%
Wellcare $24 - $27 87%
Cigna $25 - $29 90%
Clover $25 - $28 90%
Eon Health $25 - $28 90%
Universal Healthcare Group $28 - $32 101%
Corvel Corporation $32 - $37 115%
Employer'S Health Network $32 - $37 115%
Prime Health $32 - $443 115%
Heritage Summit $35 - $39 126%
Seven Corners $41 - $47 148%
Naphcare $49 - $56 177%
Sc State Employees $52 188%
Blue Choice Health Plan $81 292%
Nhc Advantage $99 357%
Pruitt Health $99 357%
Medcost $199 - $293 718%
Select Health $224 808%
Employers Health Network $234 844%
Occunet $260 938%
Vocational Rehab $281 1014%
First Health $380 1371%
Mhnet $391 1411%
Evernorth $417 1504%
Multiplan $443 1598%
Novanet $469 1692%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Medical Plaza Dr, Charleston, SC 29406
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals