CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Marinhealth Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $180
Cash Discount Price: $102
vs. Medicare Baseline: 6.49x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Marinhealth Medical Center is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 6.49x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.

Cash / Self-Pay

$102

Average discount available for prompt cash payment at this facility.

Insurance Median

$180

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: $102 (368%)

Insurance Median: $180 (649%)

Cash: $102 (368% of Medicare)

Ins. Median: $180 (649% 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 649% of the Medicare baseline (a markup of 549%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $73	123%
Brown And Tolan	$34	123%
Healthnet Tailored Network	$34	123%
Kaiser	$34	123%
Marin Cancer Care	$34	123%
Ca Prison Health Care Services	$55	198%
Healthnet Enhancedcare	$89	321%
Blue Cross Blue Shield	$126 - $160	455%
Provider Network Of America	$163	588%
Canopy	$197	711%
Canopy Hill Physicians	$197	711%
Blue Shield Cpic/Epo	$203	732%
Providers Network Of America	$216	779%
Blue Shield Hmo/Ppo	$226	815%
Hills Blue Shield Hmo/Ppo	$226	815%
Healthnet Hmo/Ppo	$228	823%
Healthnet Hmo/Ppo Hill Physicians	$228	823%
Blue Shield Aco	$234	844%
Cigna	$662	2388%
UnitedHealthcare	$2,330	8405%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $102.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97140.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marinhealth Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97140.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.