CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Riverside Community Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $30
  • Cash Discount Price: $740
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Riverside Community Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $740. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.08x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.
Cash / Self-Pay
$740

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $740 (2670%)
Insurance Median: $30 (108%)
Cash: $740 (2670% of Medicare)
Ins. Median: $30 (108% 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
Bristol Hospice $21 - $23 76%
Aetna $25 - $143 90%
Alignment Health Plan $26 - $29 94%
Blue Cross Blue Shield $26 - $29 94%
Brand New Day $26 - $35 94%
Care1St Health Plan $26 - $30 94%
Central Health Plan $26 - $29 94%
Clever Care Of Golden State $26 - $29 94%
Easy Choice Health Plan $26 - $29 94%
Heritage Provider Network $26 - $40 94%
Humana $26 - $29 94%
Redlands Community Hospital $26 - $29 94%
Riverside Medical Clinic $26 - $35 94%
Riverside Physician $26 - $29 94%
Scan Health Plan $26 - $29 94%
Triwest Healthcare Alliance $26 - $29 94%
United $26 - $209 94%
UnitedHealthcare $26 - $29 94%
Blue Shield $27 - $70 97%
Health Net $28 - $177 101%
Corvel Corporation $30 - $34 108%
Healthsmart $30 - $636 108%
Next $30 - $636 108%
La Care Health $32 115%
Molina $32 115%
Inland Empire Health Plan $44 - $50 159%
Medcare Partners $103 - $119 372%
Bright Health $272 - $315 981%
First Health $302 - $716 1089%
American Health System $308 - $358 1111%
Multiplan $548 - $676 1977%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4445 Magnolia Avenue, Riverside, CA 92501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals