CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Russell County Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Russell County Hospital is $29. 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 1.05x the Medicare baseline. Located in 58 Carroll Street, Lebanon, VA.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $29 (105%)
Cash: $29 (105% of Medicare)
Ins. Median: $29 (105% 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
Aetna $27 - $154 97%
Amerigroup $27 97%
Blue Cross Blue Shield $27 - $116 97%
Managed Medicaire $27 97%
Medicare (plans) $27 97%
Sentara Health $27 - $70 97%
United Mine Workers of America $27 97%
UnitedHealthcare $27 - $193 97%
Humana $28 101%
Molina Healthcare $28 - $47 101%
Cigna $29 - $93 105%
Devoted Health Plan $29 105%
Nhc Advantage $29 105%
Optima Health $45 162%
Ambetter / Centene $60 216%
Medcost $68 245%
First Health Coventry $193 696%
Seven Corners, Inc. $193 696%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 58 Carroll Street, Lebanon, VA 24266
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals