CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Baptist Memorial Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $129
Cash Discount Price: $48
vs. Medicare Baseline: 4.65x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Baptist Memorial Hospital is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 4.65x the Medicare baseline. Located in 6019 Walnut Grove Road, Memphis, TN.

Cash / Self-Pay

$48

Average discount available for prompt cash payment at this facility.

Insurance Median

$129

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: $48 (173%)

Insurance Median: $129 (465%)

Cash: $48 (173% of Medicare)

Ins. Median: $129 (465% 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 465% of the Medicare baseline (a markup of 365%). 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
Aetna	$18 - $61	65%
Blue Cross Blue Shield	$20 - $140	72%
Magnolia Tn	$44 - $47	159%
Humana	$53	191%
Ppo Holdings	$84 - $89	303%
Cooper Realty	$89 - $94	321%
Magnolia Regional Health Center	$89 - $94	321%
Multiplan	$95 - $176	343%
Littler	$111 - $117	400%
Molina	$111 - $117	400%
Ppo Plus	$111 - $187	400%
Mpcn	$115 - $122	415%
First Choice Health Plan Of Ms	$118 - $124	426%
Novasys	$129 - $136	465%
Oscar	$130	469%
Access Health Services	$133 - $140	480%
Butler Snow	$133 - $140	480%
UnitedHealthcare	$133 - $140	480%
Qca	$166 - $176	599%
Christian Health Aid	$178 - $187	642%
St. Jude Children'S Hospital	$200 - $211	722%

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 $48.
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 Baptist Memorial 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.