CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Adventist Health White Memorial Montebello

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $32
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Adventist Health White Memorial Montebello is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.15x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $30 (108%)
Insurance Median: $32 (115%)
Cash: $30 (108% of Medicare)
Ins. Median: $32 (115% 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
Aetna $30 - $107 108%
Alignment Health Plan-All Plans $30 108%
Altamed Mcare-All Other Plans $30 108%
Blue Shield Mcare Adv $30 108%
Brand New Day Mcare-All Other Plans $30 108%
Brandman Health Plan-All Plans $30 108%
Caremore-All Plans $30 108%
Clever Care Hp-All Plans $30 108%
Easy Choice Mcare Adv-All Plans $30 108%
Healthnet Med Adv $30 108%
Kaiser Mcare Adv $30 108%
Scan Health-All Plans $30 108%
Altamed Mcal $32 115%
Bc Mcal $32 115%
Blue Shield Promise Mcal $32 115%
Brand New Day Mcal $32 115%
Healthnet Mcal $32 115%
Kaiser Mcal $32 115%
La Care Mcal $32 115%
Medi-Cal $32 115%
Molina Mcal - All Plans $32 115%
Oscar-All Plans $32 115%
Blue Shield Epn Ifp $34 123%
Cigna $56 202%
Healthnet Salud $77 - $87 278%
Healthnet Comm-All Other Plans $93 - $104 335%
Blue Cross Blue Shield $147 530%
Healthcare Partners-All Plans $160 577%
UnitedHealthcare $181 653%
Blue Shield Epn Core $209 754%
Blue Shield Comm - All Other Plans $217 783%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals