CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Methodist Hospital Atascosa

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $27
  • Cash Discount Price: $531
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Methodist Hospital Atascosa is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $531. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 0.97x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.
Cash / Self-Pay
$531

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $531 (1916%)
Insurance Median: $27 (97%)
Cash: $531 (1916% of Medicare)
Ins. Median: $27 (97% 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
Wellmed $22 - $26 79%
Triwest Va Pccc $23 - $26 83%
Aetna $24 - $265 87%
Blue Cross Blue Shield $24 - $161 87%
Devoted Health $24 - $27 87%
Gonzaba Medical Group $24 - $27 87%
Ilumed $24 - $27 87%
Integranet $24 - $28 87%
Triwest $24 - $27 87%
United $24 - $239 87%
Wellcare $24 - $28 87%
American Health Plan Of Texas $25 - $28 90%
Clover Insurance $25 - $28 90%
Superior Health $25 - $28 90%
Texas Independent Health Plan $25 - $29 90%
Triwest Health Alliance $27 97%
Focus Healthcare Management $33 - $38 119%
Community First Health Plans $64 - $143 231%
Imperial Insurance $101 364%
Oscar $106 382%
Healthsmart Preferred Care $292 1053%
Multiplan $398 - $451 1436%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1905 Hwy 97 East, Jourdanton, TX 78026
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals