CMS Price Transparency Data
Physical therapy (manual therapy)
Facility: Menifee Global Medical Center
Billing Code: 97140 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97140
- Insurance Median: $40
- Cash Discount Price: $217
- vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Menifee Global Medical Center is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.44x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$217
Average discount available for prompt cash payment at this facility.
Insurance Median
$40
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: $217 (783%)
Insurance Median: $40 (144%)
Cash: $217 (783% of Medicare)
Ins. Median: $40 (144% 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.
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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 |
|---|---|---|
| Tricare | $25 - $27 | 90% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $26 | 94% |
| Aetna | $29 - $213 | 105% |
| Altamed Comm Hmo (Ancillary) | $29 - $217 | 105% |
| Altamed Health Services Senior | $29 | 105% |
| Altamed Sr/Pace | $29 | 105% |
| Blue Shield Senior | $29 | 105% |
| Central Health Plan Senior | $29 | 105% |
| Clever Care Health Plan Sr | $29 | 105% |
| For Your Benefit Senior | $29 | 105% |
| Guidant Health Plan Senior | $29 | 105% |
| Health Net Senior | $29 | 105% |
| Hpn Senior | $29 | 105% |
| Humana | $29 | 105% |
| Ic | $29 - $217 | 105% |
| Imperial Health Plan Of Ca | $29 | 105% |
| Kaiser Senior | $29 | 105% |
| Lasalle Medical Assoc (Ancillary) Commercial | $29 | 105% |
| Lasalle Medical Assoc (Ancillary) Senior | $29 | 105% |
| Managed Health Network Sr | $29 | 105% |
| Medicare (plans) | $29 | 105% |
| Neighborhood Healthcare Pace | $29 | 105% |
| Point Comfort Underwriters | $29 | 105% |
| Primecare Senior | $29 | 105% |
| Prospect Health Plan Sr Hmo | $29 | 105% |
| Scan Senior | $29 | 105% |
| Self Pay/Ab774/Charity Discount | $29 | 105% |
| Sr Capitation | $29 | 105% |
| UnitedHealthcare | $29 - $117 | 105% |
| Veterans Administration | $29 | 105% |
| Health Net Medi-Cal | $32 | 115% |
| Kaiser Medi-Cal | $32 | 115% |
| Align Senior Care | $33 | 119% |
| Blue Cross Blue Shield | $33 | 119% |
| Prospect Health Plan Mcal Hmo | $33 | 119% |
| Welbehealth Sr/Pace | $33 | 119% |
| Prime Health Services Senior | $34 | 123% |
| Iehp Covered Ca | $36 | 130% |
| Molina Covered Ca | $36 | 130% |
| Molina Medi-Cal | $38 | 137% |
| Prospect Health Plan Comm Hmo | $39 | 141% |
| Coventry | $40 - $41 | 144% |
| Prime Health Services Wcomp | $40 | 144% |
| Health Net Enhanced Ppo | $41 | 148% |
| Hpn Commercial/Covered Ca | $41 | 148% |
| Three Rivers Wcomp | $43 | 155% |
| Health Net Comm | $44 | 159% |
| Workers Comp Non-Contracted | $44 | 159% |
| Altamed Mcal Hmo | $45 | 162% |
| Altamed Mcal/Pace | $45 | 162% |
| Hpn Mcal | $45 | 162% |
| Iehp Medi-Cal | $48 | 173% |
| Three Rivers Network | $51 | 184% |
| Velocity | $51 - $98 | 184% |
| Blue Shield Epn | $82 | 296% |
| Blue Shield Commercial | $97 | 350% |
| First Health Commercial | $114 | 411% |
| Primecare Commercial | $141 | 509% |
| Multiplan Ppo | $152 | 548% |
| Multiplan Wcomp | $152 | 548% |
| Cigna | $174 - $315 | 628% |
| Pnoa-Provider Network Of America | $174 | 628% |
| Prime Health Services Commercial | $174 | 628% |
| Choice Physicians Network | $175 | 631% |
| Ava Hospice | $217 | 783% |
| Kaiser Commercial | $217 | 783% |
| Living Waters Hospice | $217 | 783% |
| Managed Health Network | $217 | 783% |
| Other Insurance Loa | $217 | 783% |
| Pacific Valley Hospice | $217 | 783% |
| Private Pay | $217 | 783% |
| Silverado Hospice | $217 | 783% |
| Vna Hospice | $217 | 783% |