CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Tennova Healthcare - Clarksville

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $38
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Tennova Healthcare - Clarksville is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.37x the Medicare baseline. Located in 651 Dunlop Lane, Clarksville, TN.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $78 (281%)
Insurance Median: $38 (137%)
Cash: $78 (281% of Medicare)
Ins. Median: $38 (137% 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
Amerigroup $24 87%
Tricare $24 87%
Humana $25 - $88 90%
Medicare (plans) $25 90%
Node Windsor Mcr Dual $25 90%
UnitedHealthcare $25 - $271 90%
Aetna $26 - $91 94%
American Health $26 94%
Blue Cross Blue Shield $26 - $100 94%
Node Ascension Complete Mcr Adv $26 94%
Node Bluecare Plus Tn Mcr Adv $26 94%
Node Champva $26 94%
Node Devoted Health Mcr Adv $26 94%
Node Farm Bureau Mcr Adv $26 94%
Node Healthspring Mcr Adv $26 94%
Node Hospice Non Par Agree $26 94%
Node Va $26 94%
Node Wellcare Mcr Adv $26 94%
Veterans Eval Services $26 94%
Node Amerigroup Mcr Adv $27 97%
Node Nhc Mcr Adv $28 101%
Cigna $33 - $124 119%
Corvel $37 133%
Rockport Work Comp Tn $37 133%
Novanet Work Comp Tn $38 137%
Prime Health Work Comp Tn $38 137%
Node Us Dept Of Labor $39 141%
Tn Work Comp $39 141%
Ambetter / Centene $48 173%
Node Valenz Access $51 184%
Naphcare $58 209%
Medicaid / KanCare $74 - $100 267%
Ky Work Comp $76 274%
Self Pay $78 281%
Wellcare $100 361%
Oscar $150 541%
Center Care $261 942%
Correct Care Solutions $361 1302%
First Health $361 1302%
Multiplan $381 1374%
Phcs $381 1374%
Prime Health Services $381 1374%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 Dunlop Lane, Clarksville, TN 37040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals