CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Alaska Regional Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $268
Cash Discount Price: $454
vs. Medicare Baseline: 9.67x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Alaska Regional Hospital is $268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $454. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 9.67x the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$454

Average discount available for prompt cash payment at this facility.

Insurance Median

$268

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: $454 (1638%)

Insurance Median: $268 (967%)

Cash: $454 (1638% of Medicare)

Ins. Median: $268 (967% 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 967% of the Medicare baseline (a markup of 867%). 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
Triwest Healthcare Alliance	$31 - $36	112%
Veteran'S Administration	$31 - $36	112%
United	$32 - $411	115%
Veterans Evaluation Services	$39 - $44	141%
Union Coalition	$108 - $160	390%
Union Coalition Cement Masons	$112 - $166	404%
Moda Health	$116 - $256	418%
Premerafirst	$180 - $269	649%
Geha Ppo Usa	$188 - $476	678%
Cigna	$198 - $295	714%
Multiplan	$219 - $506	790%
Coventry Healthcare	$230 - $343	830%
First Health	$255 - $381	920%
Bering Strait School District	$273 - $408	985%
Nreca Group Benefit Trust	$273 - $408	985%
Risk & Benefit Management	$273 - $408	985%
Banner Health	$292 - $435	1053%
Matanuska Telephone	$292 - $435	1053%

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 $454.
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 Alaska Regional 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.