CMS Price Transparency Data
Physical therapy (manual therapy)
Facility: Adventist Health White Memorial
Billing Code: 97140 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97140
- Insurance Median: $41
- Cash Discount Price: $70
- vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Adventist Health White Memorial is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.48x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$70
Average discount available for prompt cash payment at this facility.
Insurance Median
$41
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: $70 (253%)
Insurance Median: $41 (148%)
Cash: $70 (253% of Medicare)
Ins. Median: $41 (148% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Access Group | $26 | 94% |
| Ahp - All Other Plans | $26 | 94% |
| Lasalle Mg Commercial - All Other Plans | $26 | 94% |
| Access Senior - All Other Plans | $31 | 112% |
| Ahp Senior | $31 | 112% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $31 | 112% |
| Altamed Connect | $31 | 112% |
| Avanti Mcr Adv - All Other Plans | $31 | 112% |
| Brand New Day Mcare - All Plans | $31 | 112% |
| Bs Va Mcare | $31 | 112% |
| Care First Mcare - All Other Plans | $31 | 112% |
| Clever Care - All Plans | $31 | 112% |
| Fcs Ipa Mcr Advan Op/Profee Only | $31 | 112% |
| Humana | $31 | 112% |
| Lasalle Mg Senior | $31 | 112% |
| Medicare (plans) | $31 | 112% |
| Molina Mcare | $31 | 112% |
| Pacific Alliance Mcare - All Other Plans | $31 | 112% |
| Preferred Senior | $31 | 112% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $31 | 112% |
| Tricare | $31 | 112% |
| UnitedHealthcare | $31 - $188 | 112% |
| Access Medi-Cal | $32 | 115% |
| Ahp Medi-Cal | $32 | 115% |
| Alta Los Angeles Mcal 1/1/19 | $32 | 115% |
| Avanti Mcal | $32 | 115% |
| Blue Cross Blue Shield | $32 - $549 | 115% |
| Fcs Ipa Op/Profee Only - All Other Plans | $32 | 115% |
| Healthcare Inc Medi-Cal | $32 | 115% |
| Lasalle Mg Medi-Cal | $32 | 115% |
| Medi-Cal | $32 | 115% |
| Molina Medi-Cal | $32 | 115% |
| Pacific Alliance Medi-Cal | $32 | 115% |
| Pacific Ipa Medi-Cal | $32 | 115% |
| Preferred Ipa La Care Mcal Cap | $32 | 115% |
| Preferred Medi-Cal | $32 | 115% |
| Bright Health - All Plans | $35 | 126% |
| Altamed Medi-Cal - All Other Plans | $37 | 133% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $37 | 133% |
| Preferred Commercial - All Other Plans | $37 | 133% |
| Fcs Ipa Medi-Cal Op/Profee Only | $38 | 137% |
| Healthnet Mcal | $38 | 137% |
| Intergrated Medical - All Plans | $40 | 144% |
| Preferred Healthy | $40 | 144% |
| Bc Medi-Cal | $41 | 148% |
| Molina Benefit Exchange - All Other Plans | $41 | 148% |
| Assoc Hispanic Physcns Mcal | $45 | 162% |
| Php-Prospect Health Plan Cap - All Plans | $46 | 166% |
| Ah Employee Health Plan - All Plans | $55 | 198% |
| Centivo - All Plans | $69 | 249% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $80 | 289% |
| Bella Vista Medi-Cal Op/Profee Only | $80 | 289% |
| Blue Shield Medi-Cal | $80 | 289% |
| Aetna | $97 | 350% |
| Blue Shield Mcr Adv | $105 | 379% |
| Care First Medi-Cal | $112 | 404% |
| Pacific Ipa - All Other Plans | $148 | 534% |
| Caremore Mcare - All Plans | $154 | 556% |
| Kaiser- All Plans | $160 | 577% |
| Cigna | $165 | 595% |
| Healthnet - All Other Plans | $176 | 635% |
| Healthnet Comm Care | $182 | 657% |
| Hcpamg - All Plans | $195 | 703% |
| Healthcare Inc - All Other Plans | $214 | 772% |
| La Care Mcr Adv - All Plans | $214 | 772% |
| First Heatlh Ppo - All Plans | $226 | 815% |
| Phcs Ppo - All Plans | $254 | 916% |
| Scan Health Mcare - All Plans | $254 | 916% |
| Ahf - All Plans | $292 | 1053% |
| Beech Street - All Plans | $292 | 1053% |
| Interplan Ppo - All Plans | $292 | 1053% |
| Corvel Corp - All Plans | $312 | 1126% |
| Multiplan Ppo - All Plans | $324 | 1169% |
| Healthmannet - All Plans | $332 | 1198% |
| Next Inc Ppo - All Plans | $332 | 1198% |
| Trpn - All Plans | $332 | 1198% |
| Western Growers/Pinnacle - All Plans | $341 | 1230% |
| Fpn Ppo - All Plans | $351 | 1266% |
| Blue Shield Epn | $460 | 1659% |
| Blue Shield - All Other Plans | $530 | 1912% |
| Healthnet Mcr Adv | $597 | 2154% |