CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Verde Valley Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $52
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Verde Valley Medical Center is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.88x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $88 (317%)
Insurance Median: $52 (188%)
Cash: $88 (317% of Medicare)
Ins. Median: $52 (188% 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
Ahcccs Other $13 - $32 47%
Care 1St $13 - $32 47%
Health Choice $13 - $52 47%
Health Choice Arizona $13 - $32 47%
Health Net Of Arizona $13 - $32 47%
Mercy Care $13 - $32 47%
Nhi Out Of State Ahcccs $13 - $32 47%
UnitedHealthcare $13 - $229 47%
University Of Arizona Health Plans $13 - $32 47%
Vvmc Jail $13 - $32 47%
Ahcccs $14 - $34 51%
Mercy Care Rhba $14 - $32 51%
Health Choice Integrated Care $23 - $55 83%
Aetna $27 - $215 97%
Community Health Center Of Yavapai $27 97%
Health Net Federal $27 97%
Humana $27 97%
Medicare (plans) $27 97%
Mercy Care Advantage $27 97%
Snf Vvmc $27 97%
Va Pccc Triwest $27 97%
Vvmc 30/70 $27 97%
Wellcare $27 97%
Wellcare By Allwell $27 97%
Devoted $28 - $30 101%
Ambetter / Centene $31 112%
Gold Kidney $32 115%
Pnoa-Provider Network Of America $41 148%
Naphcare $48 - $55 173%
Self Pay $52 - $248 188%
Self-Pay 50% Discount $52 - $124 188%
Blue Cross Blue Shield $61 - $180 220%
Workers Comp $68 - $161 245%
Copperpoint $76 - $180 274%
Cigna $94 - $223 339%
Vvmc 90/10 $94 - $223 339%
Auto Insurance $5,000 18038%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals