CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Hancock County Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $88
Cash Discount Price: $29
vs. Medicare Baseline: 3.17x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Hancock County Hospital is $88. 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 3.17x the Medicare baseline. Located in 1519 Main Street Hwy 33, Sneedville, TN.

Cash / Self-Pay

$29

Average discount available for prompt cash payment at this facility.

Insurance Median

$88

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: $88 (317%)

Cash: $29 (105% of Medicare)

Ins. Median: $88 (317% 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 317% of the Medicare baseline (a markup of 217%). 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
Blue Cross Blue Shield	$23 - $124	83%
Sentara Health	$32 - $88	115%
Amerigroup	$44 - $88	159%
UnitedHealthcare	$46 - $124	166%
Optima Health	$50	180%
Aetna	$51 - $88	184%
Molina Healthcare	$51 - $92	184%
Cigna	$58 - $92	209%
Medcost	$59	213%
Ambetter / Centene	$88	317%
Managed Medicaire	$88	317%
Medicare (plans)	$88	317%
United Mine Workers Of America	$88	317%
Wellcare	$88 - $124	317%
Humana	$89	321%
Devoted Health Plan	$92	332%
Nhc Advantage	$92	332%
First Health Coventry	$99	357%
Seven Corners, Inc.	$124	447%

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 $29.
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 Hancock County 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.