CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Ascension Saint Thomas Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $26
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Ascension Saint Thomas Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 0.94x the Medicare baseline. Located in 4220 Harding Rd, Po Box 380, Nashville, TN.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $44 (159%)
Insurance Median: $26 (94%)
Cash: $44 (159% of Medicare)
Ins. Median: $26 (94% 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 Cross Blue Shield $20 - $77 72%
Community Plan $23 - $24 83%
Point Comfort Underwriters $23 83%
Americhoice Mcr Replacement $24 - $25 87%
Amerigroup $24 87%
Medicare (plans) $24 - $27 87%
Tricare $25 90%
Aetna $26 94%
Amerigroup Mcr Replacement $26 94%
Ascension Complete $26 94%
Centurion Of Tn $26 94%
Covid Uninsured Test Fund $26 94%
Healthspring Mcr Replacement $26 94%
Humana $26 94%
Nhc Advantage $26 94%
Triwest Va Pccc $26 94%
UnitedHealthcare $26 94%
Select Specialty West $32 115%
Ambetter / Centene $33 119%
Cigna $35 - $40 126%
Oscar Health $36 130%
Oscar Health Plan $36 130%
Smart Health $36 130%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4220 Harding Rd, Po Box 380, Nashville, TN 37205
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals