CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Methodist Celina Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $43
Cash Discount Price: $112
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Methodist Celina Medical Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.55x the Medicare baseline. Located in 1500 S Dallas Parkway, Celina, TX.

Cash / Self-Pay

$112

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $112 (404%)

Insurance Median: $43 (155%)

Cash: $112 (404% of Medicare)

Ins. Median: $43 (155% 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.

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	$28 - $45	101%
Blue Cross Blue Shield	$28 - $81	101%
Mcs Advantage, Inc Classicare [7021]	$28	101%
Medicare (plans)	$28 - $30	101%
UnitedHealthcare	$28 - $30	101%
Ust Health Proof [1005]	$28	101%
Wellcare [7016]	$28	101%
American Health Advantage Of Texas [7099]	$29	105%
Cigna	$29 - $30	105%
Humana	$30	108%
Southwestern Health Resources Swhr [7015]	$30	108%
Oscar Insurance Company [2057]	$36	130%
Molina [3017]	$40	144%
Wellpoint Marketplace Exchange [3071]	$43	155%
Kempton Group Administrators, Tower Extrusions [3061]	$45	162%
90 Degree Benefit [3057]	$46	166%
Allied National [2031]	$46	166%
Entrust/90 Degree [2058]	$46	166%
Department Of Labor [8004]	$56	202%
Evry Health [1013]	$56	202%
Generic Workers Comp Tx Non Par [9010]	$56	202%
Generic Workers Comp Tx Par [8002]	$56	202%
Generic Workers Comp Tx Par [9011]	$56	202%
Sana Benefits [3069]	$56	202%
Velocity [3070]	$56	202%
Health Plans Inc [5017]	$70	253%
Medical Cost Containment Professionals [3059]	$70	253%
Medicaid / KanCare	$169	610%

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 $112.
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 Methodist Celina Medical Center 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.