CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Grand Strand Regional Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $28
  • Cash Discount Price: $462
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Grand Strand Regional Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $462. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.01x the Medicare baseline. Located in 809 82Nd Parkway, Myrtle Beach, SC.
Cash / Self-Pay
$462

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $462 (1667%)
Insurance Median: $28 (101%)
Cash: $462 (1667% of Medicare)
Ins. Median: $28 (101% 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 - $208 54%
Blue Cross Blue Shield $23 - $439 83%
Devoted Health $23 - $27 83%
Humana $23 - $393 83%
United Behavioral Health $23 - $27 83%
Absolute Total Care $24 - $83 87%
Aetna $24 - $27 87%
Boldage Pace $24 - $27 87%
Molina $24 - $83 87%
Wellcare $24 - $27 87%
Cigna $25 - $149 90%
Clover $25 - $28 90%
Eon Health $25 - $28 90%
Health Team Advantage $26 - $29 94%
Universal Healthcare Group $28 - $32 101%
Corvel Corporation $32 - $37 115%
Employer'S Health Network $32 - $37 115%
Prime Health $32 - $393 115%
Heritage Summit $35 - $39 126%
Sc State Employees $52 188%
Blue Choice Health Plan $77 278%
Nhc Advantage $88 317%
Pruitt Health $88 317%
Select Health $199 718%
Medcost $231 - $316 833%
Occunet $231 833%
Vocational Rehab $249 898%
Employers Health Network $254 916%
Evernorth $370 1335%
First Health $381 1374%
Global Excel Management $383 1382%
Multiplan $393 1418%
National Choicecare $393 1418%
Novanet $416 1501%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 809 82Nd Parkway, Myrtle Beach, SC 29572
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals