CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Johnson County Community Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $45
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Johnson County Community Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.62x the Medicare baseline. Located in 1901 S Shady St, Mountain City, TN.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $29 (105%)
Insurance Median: $45 (162%)
Cash: $29 (105% of Medicare)
Ins. Median: $45 (162% 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 $23 - $124 83%
Aetna $36 - $79 130%
Amerigroup $36 - $45 130%
Managed Medicaire $36 130%
Medicare (plans) $36 130%
Sentara Health $36 - $42 130%
United Mine Workers Of America $36 130%
UnitedHealthcare $36 - $124 130%
Wellcare $36 130%
Humana $37 133%
Molina Healthcare $37 - $51 133%
Cigna $38 - $60 137%
Devoted Health Plan $38 137%
Nhc Advantage $38 137%
Ambetter / Centene $40 144%
Medcost $43 155%
Optima Health $49 177%
First Health Coventry $93 335%
Seven Corners, Inc. $124 447%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 S Shady St, Mountain City, TN 37683
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals