CMS Price Transparency Data
Physical therapy (manual therapy)
Facility: Monterey Park Hospital
Billing Code: 97140 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97140
- Insurance Median: $91
- Cash Discount Price: $433
- vs. Medicare Baseline: 3.28x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Monterey Park Hospital is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $433. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 3.28x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$433
Average discount available for prompt cash payment at this facility.
Insurance Median
$91
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: $433 (1562%)
Insurance Median: $91 (328%)
Cash: $433 (1562% of Medicare)
Ins. Median: $91 (328% 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 328% of the Medicare baseline (a markup of 228%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Veterans Administration | $21 | 76% |
| Access Ipa Ancillary | $22 - $29 | 79% |
| Accountable Ipa | $22 | 79% |
| Ahmc Healthcare Inc | $22 - $266 | 79% |
| Allied Physicians | $22 - $46 | 79% |
| Alta Med Health Services Corp | $22 - $222 | 79% |
| Altamed Health Network | $22 - $30 | 79% |
| Altamed Health Services | $22 | 79% |
| Applecare Medical Group | $22 - $24 | 79% |
| Assess Ipa | $22 | 79% |
| Associated Hispanic Physicians Ancillary | $22 - $23 | 79% |
| Beverly Hospital | $22 - $34 | 79% |
| Blue Cross Blue Shield | $22 - $443 | 79% |
| Brand New Day | $22 - $38 | 79% |
| Care 1St Mcl/Gar Cap | $22 | 79% |
| Community Health Plan | $22 | 79% |
| Esperanza Medical Group Ipa | $22 - $60 | 79% |
| Family Health Alliance Medical Group | $22 - $60 | 79% |
| Health Net Medi Cal | $22 | 79% |
| Healthnet Inc | $22 | 79% |
| Healthy Way La | $22 | 79% |
| La Care | $22 - $31 | 79% |
| La Care Health Plan | $22 - $487 | 79% |
| Medical Managed Care Program | $22 | 79% |
| Molina Healthcare | $22 | 79% |
| Other Non-Contracted Medi-Cal | $22 | 79% |
| Preferred Ipa | $22 - $38 | 79% |
| Preferred Ipa Of California | $22 | 79% |
| Altamed Health Services Corporation | $24 - $89 | 87% |
| Bella Vista Medical Group | $24 - $266 | 87% |
| Care 1St M Cal | $24 - $89 | 87% |
| Crown City Medical Group Inc | $24 - $89 | 87% |
| Physician Healthways | $24 - $89 | 87% |
| Universal Care M Cal/Advantage Health Network | $24 - $89 | 87% |
| Senior Citizens Choice | $27 | 97% |
| Aetna | $29 - $645 | 105% |
| Alhambra Community Dialysis Unit Inc | $29 - $532 | 105% |
| Aids Health Foundation | $30 - $32 | 108% |
| Alignment Health Plan | $30 | 108% |
| Apa/Aco Inc | $30 | 108% |
| Avanti | $30 - $37 | 108% |
| Blue Shield Of California | $30 - $443 | 108% |
| Cms | $30 | 108% |
| Easy Choice Health Plan | $30 | 108% |
| First Health Senior | $30 | 108% |
| Foundation Health Plan | $30 | 108% |
| Health Net | $30 - $135 | 108% |
| Health Net Inc | $30 - $234 | 108% |
| Humana | $30 | 108% |
| Medicare (plans) | $30 - $32 | 108% |
| Scan Health Plan | $30 | 108% |
| Secure Horizons | $30 | 108% |
| Ucla/Impact Cancer | $30 | 108% |
| UnitedHealthcare | $30 - $620 | 108% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $31 | 112% |
| Emanate Health | $31 - $38 | 112% |
| La Care Covered Direct | $31 | 112% |
| Maxi Med Inc/Ipa | $31 - $32 | 112% |
| Self-Pay | $31 | 112% |
| Bella Vista Medical Group Ancillary | $32 | 115% |
| Central Health Plan | $32 | 115% |
| Hollywood Presbyterian Adv Med Mcal | $32 | 115% |
| Hollywood Presbyterian Medpoint Mcal | $32 | 115% |
| Medi Cal | $32 | 115% |
| Molina Healthcare Medi-Connect | $32 | 115% |
| Pacific Independent Physician Association | $32 - $60 | 115% |
| San Miguel Health Plan | $34 | 123% |
| Ahmc Health Epo | $38 | 137% |
| Knox-Keene Act | $38 | 137% |
| Molina Healthcare Of California | $38 | 137% |
| Preferred Health Network | $42 - $709 | 152% |
| Interplan | $43 - $664 | 155% |
| Asi Flex Ppo W/C | $44 | 159% |
| Athens Administrators | $44 | 159% |
| Indemnity W Comp Fee Schedule | $44 | 159% |
| Multiplan | $44 - $753 | 159% |
| Caloptima Direct | $47 | 170% |
| Employee Health Systems Medical Group | $47 - $177 | 170% |
| Global Care Medical Group Ipa | $47 - $399 | 170% |
| Healthnet/Ehs Capitation | $47 - $177 | 170% |
| Garfield Medical Center | $54 | 195% |
| Hispanic Physicians Ipa Medical Corporation | $59 - $222 | 213% |
| Allied Physicians Ipa | $60 | 216% |
| Ahmc Reciprocity Agreement Senior/Commercial | $70 - $266 | 253% |
| Community Health Plan M Cal Joy Ipa | $70 - $266 | 253% |
| Tenet Reciprocity | $70 - $266 | 253% |
| Healthcare Partners Affiliates Medical Group | $84 - $316 | 303% |
| Health Net Of California | $91 - $530 | 328% |
| Molina Medical Centers | $92 - $346 | 332% |
| Central Health Plan Of California | $94 - $354 | 339% |
| Care 1St Health Plan | $141 - $532 | 509% |
| Greater Los Angeles Dialysis Inc | $141 - $532 | 509% |
| One Health Plan | $141 - $775 | 509% |
| Choice Care Network | $153 - $576 | 552% |
| Healthnet | $153 - $576 | 552% |
| Universal Care | $164 - $620 | 592% |
| Corvel Corporation | $188 - $925 | 678% |
| Bce Emergis Corp | $200 - $753 | 722% |
| Pacificare | $219 - $263 | 790% |
| Commercial Non Contract | $235 - $886 | 848% |
| Mri/Ct Greater El Monte Hospital | $235 - $886 | 848% |
| Mri/Mra/Alhambra Hospital | $235 - $886 | 848% |
| Mri/Mra/Eladh | $235 - $886 | 848% |
| One Legacy | $235 - $886 | 848% |
| Cigna | $525 | 1894% |