CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: De Tar Hospital Navarro

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $40
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at De Tar Hospital Navarro is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.44x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $113 (408%)
Insurance Median: $40 (144%)
Cash: $113 (408% of Medicare)
Ins. Median: $40 (144% 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
Medicaid / KanCare $22 - $73 79%
Scott & White $22 79%
UnitedHealthcare $22 - $126 79%
Blue Cross Blue Shield $23 - $119 83%
Superior $23 - $55 83%
Tricare $25 - $26 90%
Department Of Veterans Affairs $26 94%
Veterans Eval Services $26 94%
Aetna $27 - $253 97%
Humana $27 97%
Medicare (plans) $27 97%
Node Hospice Non Par Agree $27 97%
Node Triwest $27 97%
Node Va $27 97%
American Health Mcr Adv $28 101%
Node Amerigroup Mcr Adv $28 101%
Node Procare Mcr Adv $28 101%
Provider Partners Health Plan $28 101%
Industrial Rehab $31 112%
Node Us Dept Of Labor $41 148%
Node Brookshire Brothers $47 170%
Node Brookshire Brothers Work Comp Tx $50 180%
Amerigroup $53 191%
Work Comp $54 195%
Elap $59 213%
Dars $102 368%
Tx Workforce Commission $102 368%
Cigna $105 - $190 379%
Healthsmart $244 - $310 880%
Multiplan $288 - $354 1039%
First Health $301 1086%
Medcorp Southwest Inc $310 1118%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals