CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Physicians Regional Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Physicians Regional Medical Center is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $43 (155%)
Insurance Median: $29 (105%)
Cash: $43 (155% of Medicare)
Ins. Median: $29 (105% 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 - $27 87%
Amerigroup Community Care $24 87%
Tricare $24 87%
Blue Cross Blue Shield $26 - $100 94%
Department Of Veterans Affairs $26 94%
Humana $26 94%
Medicare (plans) $26 94%
Node Bluecare Plus Tn Mcr Adv $26 94%
Node Devoted Health Mcr Adv $26 94%
Node Farm Bureau Mcr Adv $26 94%
Node Hospice Non Par Agree $26 94%
Node Va $26 94%
UnitedHealthcare $26 - $216 94%
Veterans Eval Services $26 94%
Aetna $27 - $156 97%
Node Healthspring Mcr Adv $27 97%
Wellcare $27 97%
Node Nhc Mcr Adv $29 105%
Novanet Work Comp Tn $38 137%
Node Us Dept Of Labor $39 141%
Occunet Work Comp Tn $39 141%
Tn Work Comp $39 141%
Us Department Of Labor $39 141%
Self Pay $42 - $44 152%
Medicaid / KanCare $45 162%
Ambetter / Centene $49 177%
Node Point Comfort Underwriters $49 177%
Multiplan $104 - $137 375%
Cigna $133 480%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals