CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Baptist Beaumont Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $59
Cash Discount Price: $38
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Baptist Beaumont Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 2.13x the Medicare baseline. Located in 3080 College Street, Beaumont, TX.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $38 (137%)

Insurance Median: $59 (213%)

Cash: $38 (137% of Medicare)

Ins. Median: $59 (213% 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 213% of the Medicare baseline (a markup of 113%). 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
Aetna	$27 - $150	97%
Ameri-Plus Ppo-All Plans	$27	97%
Blue Cross Blue Shield	$27 - $62	97%
Cigna	$27 - $112	97%
Superior Health Plan Mcr Adv	$27	97%
Texan Plus-All Plans	$27	97%
Americhoice - All Plans	$29	105%
Amerigroup - All Plans	$29	105%
Community Health Choice - All Plans	$29	105%
Medicaid / KanCare	$29 - $38	105%
Tchp Chips - All Plans	$29	105%
Superior Health Plan Comm - All Other Plans	$31	112%
Texas Exchange Plans - All Plans	$31	112%
Beacon Health - All Plans	$33	119%
Correctcare - All Plans	$40	144%
Naphcare Inc - All Plans	$40	144%
Texas School Health Benefits - All Plans	$40	144%
Preferred Care Services - All Plans	$45	162%
Brookshire Brothers - All Plans	$60	216%
Signature Health - All Plans	$90	325%
Imagine Healthcare (Smartcare) - All Plans	$93	335%
Central Healthcare Services - All Plans	$144	519%
Humana	$144 - $159	519%
Mhhnp-All Plans	$144	519%
Pponext - All Plans	$188	678%
Multiplan - All Plans	$202	729%
Phcs - All Plans	$202	729%
First Health - All Plans	$217	783%
Healthsmart - All Plans	$217	783%
Managed Healthcare Inc - All Plans	$217	783%
Blue Bell - All Plans	$231	833%

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 $38.
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 Baptist Beaumont 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.