CMS Price Transparency Data
Physical therapy (manual therapy)
Facility: Whittier Hospital Medical Center
Billing Code: 97140 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97140
- Insurance Median: $45
- Cash Discount Price: $16
- vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Whittier Hospital Medical Center is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.62x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$16
Average discount available for prompt cash payment at this facility.
Insurance Median
$45
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: $16 (58%)
Insurance Median: $45 (162%)
Cash: $16 (58% of Medicare)
Ins. Median: $45 (162% 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 |
|---|---|---|
| Blue Cross Blue Shield | $4 - $293 | 14% |
| Physician Healthways | $9 - $17 | 32% |
| Physicians Healthways Medical Corporation | $11 | 40% |
| Veterans Administration | $21 | 76% |
| Ahmc Medi-Cal Reciprocity Agreement | $22 | 79% |
| Aids Healthcare Foundation | $22 - $30 | 79% |
| Allied Physicians | $22 - $46 | 79% |
| Alta Med Health Network | $22 - $30 | 79% |
| Altamed Health Services Corporation | $22 | 79% |
| Beverly Hospital | $22 - $34 | 79% |
| Brand New Day | $22 - $38 | 79% |
| Emanate Health | $22 - $38 | 79% |
| Health Net | $22 - $104 | 79% |
| Healthy Way La | $22 | 79% |
| Heritage Provider Network | $22 - $41 | 79% |
| Kaiser Foundation | $22 - $122 | 79% |
| La Care Healthy Families/Healthy Kids | $22 | 79% |
| Non Contracted Medi-Cal | $22 | 79% |
| Prospect Health Plan | $22 - $49 | 79% |
| Synermed | $22 - $31 | 79% |
| La Care Health Plan | $26 - $96 | 94% |
| Ahmc Reciprocity | $27 - $52 | 97% |
| Ahmc Reciprocity Agreement Senior/Commercial | $27 - $52 | 97% |
| Wear And Wood | $27 - $70 | 97% |
| Aetna | $29 - $127 | 105% |
| Alignment Health Plan | $30 | 108% |
| Alta Los Angeles Hospitals Inc | $30 | 108% |
| Apa/Aco Inc | $30 | 108% |
| Applecare Medical Group | $30 | 108% |
| Avanti | $30 - $37 | 108% |
| Caloptima | $30 - $31 | 108% |
| Central Health Plan | $30 | 108% |
| Easy Choice Health Plan | $30 | 108% |
| Humana | $30 | 108% |
| Medicare (plans) | $30 - $32 | 108% |
| Pacificare Of California | $30 | 108% |
| Scan Health Plan | $30 | 108% |
| Tricare | $30 | 108% |
| Blue Shield Of California | $31 - $433 | 112% |
| Caremore | $31 | 112% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $31 | 112% |
| La Care Covered Direct | $31 | 112% |
| Monarch Healthplan | $31 | 112% |
| Pacific Alliance Medical Center | $31 | 112% |
| Private Pay | $31 | 112% |
| Self-Pay | $31 | 112% |
| Care First Health Plan | $32 | 115% |
| County Of Los Angeles Dept Of Health Services | $32 | 115% |
| Hollywood Presbyterian Adv Med Mcal | $32 | 115% |
| Hollywood Presbyterian Medpoint Mcal | $32 | 115% |
| Medi Caid/ Medi Cal | $32 | 115% |
| Molina Healthcare Of California | $32 | 115% |
| San Miguel Health Plan | $34 | 123% |
| Molina Medical Center | $35 - $68 | 126% |
| Central Health Plan Of California | $36 - $70 | 130% |
| Chinatown Service Center Pace | $37 | 133% |
| Ahmc Health | $38 | 137% |
| Knox-Keene Act | $38 | 137% |
| Fmc Los Angeles County | $42 - $130 | 152% |
| Interplan Health Group | $43 | 155% |
| UnitedHealthcare | $43 - $267 | 155% |
| Athens Administrators Ahmc Work Comp | $44 | 159% |
| Misc 1 | $44 | 159% |
| Multiplan Wc | $44 | 159% |
| Prospect Medical | $49 - $96 | 177% |
| Care 1St Health Plan | $53 - $104 | 191% |
| New Horizon Medical Group Inc | $53 - $104 | 191% |
| Cost Containment | $58 - $113 | 209% |
| Universal Care | $58 - $122 | 209% |
| Capnet | $60 | 216% |
| Pacific Independent Physician Association | $60 | 216% |
| Asi/Flex | $62 - $122 | 224% |
| Us Comp Care | $62 - $122 | 224% |
| Value Healthplan Of California | $62 - $122 | 224% |
| Edward Medical Group | $65 | 234% |
| Community Care Network | $67 - $130 | 242% |
| Coventry Health Care | $67 - $130 | 242% |
| Coventry Health Care National Network | $67 - $130 | 242% |
| Interplan Corporation | $67 - $130 | 242% |
| Managed Care Administrators | $67 - $130 | 242% |
| Prohealth | $67 - $130 | 242% |
| Allied Physicians Ipa | $69 | 249% |
| Health Net Inc | $75 - $135 | 271% |
| Multiplan | $76 - $148 | 274% |
| Cigna | $89 - $174 | 321% |
| Commercial Non Contract | $89 - $174 | 321% |
| Medi-Cal Sub Acute | $89 - $174 | 321% |
| One Legacy | $89 - $174 | 321% |
| Healthnet | $92 - $234 | 332% |
| Davita Healthcare Partners | $94 | 339% |
| Great-West Healthcare Of California | $2,500 | 9019% |