CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Banner Casa Grande Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $84
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 3.03x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Banner Casa Grande Medical Center is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 3.03x the Medicare baseline. Located in 1800 East Florence Boulevard, Casa Grande, AZ.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $28 (101%)
Insurance Median: $84 (303%)
Cash: $28 (101% of Medicare)
Ins. Median: $84 (303% 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 303% of the Medicare baseline (a markup of 203%). 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.

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 $34 - $89 123%
Arizona Physicians Ipa $43 155%
Health Net $43 - $91 155%
Mercy Care $43 155%
Health Choice Arizona, Inc. $51 - $84 184%
Hospice Of The Valley $59 213%
Blue Cross Blue Shield $64 - $86 231%
Arizona Priority Care $68 245%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $76 274%
Plotkin Health $76 274%
Oscar Health Plan $84 303%
Quiktrip Corporation $91 328%
Arizona Medical Network $118 426%
Provider Network Of America $127 458%
Cigna $225 812%
UnitedHealthcare $235 - $261 848%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 East Florence Boulevard, Casa Grande, AZ 85122
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals