Physical therapy (manual therapy)
Facility: Bmh-Calhoun
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $67
- Cash Discount Price: $45
- vs. Medicare Baseline: 2.42x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 242% of the Medicare baseline (a markup of 142%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $29 - $39 | 105% |
| PPO Holdings | $33 | 119% |
| Magnolia Regional Health Center | $35 | 126% |
| Tricare | $36 | 130% |
| Triwest | $37 | 133% |
| Molina | $37 - $69 | 133% |
| Ms Breast and Cervical | $37 | 133% |
| Vaccn | $37 | 133% |
| Devoted Health | $38 | 137% |
| Aetna | $39 - $57 | 141% |
| Primewell | $39 | 141% |
| Humana | $39 - $70 | 141% |
| American Health Plan | $39 | 141% |
| Shared Health | $39 | 141% |
| Magnolia Ms | $43 | 155% |
| Littler | $44 | 159% |
| Cigna | $48 | 173% |
| First Choice Health Plan of Ms | $56 | 202% |
| Burch Food Services | $64 | 231% |
| First State Bank Trust | $64 | 231% |
| Crittenden County | $67 | 242% |
| Heavy Machines | $67 | 242% |
| Ritchey Automotive | $67 | 242% |
| Vaughn Electric | $67 | 242% |
| Rei Nation | $67 | 242% |
| Y K Auto Group | $67 | 242% |
| Town of Collierville | $67 | 242% |
| United Tn Holdings | $67 | 242% |
| Collierville Schools | $67 | 242% |
| Malco Theaters | $67 | 242% |
| Lakeland School System | $67 | 242% |
| Jas D Collier | $67 | 242% |
| Building Plastic | $67 | 242% |
| Mid-South Transport | $67 | 242% |
| Desoto Co Board of Supervisors | $67 | 242% |
| French Camp Academy | $67 | 242% |
| Armstrong Relocation | $67 | 242% |
| City of Bartlett | $67 | 242% |
| Gossett Motor Cars | $67 | 242% |
| First Community Bank | $67 | 242% |
| Dunn Investment Company | $67 | 242% |
| Davidson Hospitality | $67 | 242% |
| Radians | $67 | 242% |
| Heartland Catfish Company | $67 | 242% |
| State Systems | $67 | 242% |
| Brimhall Foods | $67 | 242% |
| Arlington Community Schools | $67 | 242% |
| Hospitality Management Advisors | $67 | 242% |
| City of Lakeland | $67 | 242% |
| Eas Mssc Schools | $67 | 242% |
| Minact | $67 | 242% |
| Hollowell Industries | $67 | 242% |
| Watkins Uiberall | $67 | 242% |
| W W Wood Products | $67 | 242% |
| Carlisle | $67 | 242% |
| Delta Industries | $67 | 242% |
| Ashley Furniture Stores | $67 | 242% |
| Retzer Resources | $67 | 242% |
| Cannon Motor Company | $67 | 242% |
| Bartlett City Schools | $67 | 242% |
| Patterson Warehouses | $67 | 242% |
| W G Yates | $67 | 242% |
| Mechanical Systems | $67 | 242% |
| Silver Tree | $67 | 242% |
| Security One | $67 | 242% |
| Hattiesburg Clinic | $67 | 242% |
| Advanced Health Systems Inc. | $70 | 253% |
| Christian Health Aid | $70 | 253% |
| PPO Plus | $74 | 267% |
| Employers Health Network | $75 | 271% |
| Harding Academy | $75 | 271% |
| Qca | $78 | 281% |
| Multiplan | $78 | 281% |