Physical therapy (manual therapy)
Facility: Greater El Monte Community Hospital
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $71
- Cash Discount Price: $153
- vs. Medicare Baseline: 2.56x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 256% of the Medicare baseline (a markup of 156%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Care 1St Medi Cal Hmo Cap Exceptional Care | $14 - $20 | 51% |
| Clinica Medica Familiar | $17 - $98 | 61% |
| In Custody-Ca Highway Patrol | $20 | 72% |
| Veterans Administration | $21 | 76% |
| Aids Health Foundation | $22 - $30 | 79% |
| Altamed Health Network | $22 - $30 | 79% |
| Avanti | $22 - $37 | 79% |
| Beverly Hospital | $22 - $34 | 79% |
| Brand New Day | $22 - $38 | 79% |
| Emanate Health | $22 - $38 | 79% |
| Health Net Foundation | $22 - $135 | 79% |
| Healthy Way La | $22 | 79% |
| La Care Health Plan | $22 - $107 | 79% |
| Other Non Contracted Medi-Cal Hmo | $22 | 79% |
| State Of California | $22 | 79% |
| Blue Cross Blue Shield | $27 - $223 | 97% |
| Bella Vista Medical Group Ipa | $28 - $88 | 101% |
| Employee Health Systems Medical Group | $28 - $39 | 101% |
| Global Care Medical Group Ipa | $28 - $88 | 101% |
| Alignment Health Plan | $30 | 108% |
| Allied Physicians | $30 - $45 | 108% |
| Apa/Aco Inc | $30 | 108% |
| Blue Shield Of California | $30 - $433 | 108% |
| Champus Foundation | $30 | 108% |
| Cms | $30 | 108% |
| Easy Choice Health Plan | $30 | 108% |
| Health Net Inc | $30 - $234 | 108% |
| Other Non Contracted Senior Hmo | $30 | 108% |
| Pacific Alliance Medical Center Reciprocal Contract | $30 | 108% |
| Scan Health Plan | $30 | 108% |
| UnitedHealthcare | $30 - $167 | 108% |
| Associated Hispanic Physicians | $31 - $32 | 112% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $31 | 112% |
| Good Samaritan Medical Practice Assoc | $31 - $117 | 112% |
| La Care Covered Direct | $31 | 112% |
| Pacificare Of California | $31 - $169 | 112% |
| Self-Pay | $31 | 112% |
| Hollywood Presbyterian Adv Med Mcal | $32 | 115% |
| Hollywood Presbyterian Medpoint Mcal | $32 | 115% |
| Inter Valley Health Plan | $32 | 115% |
| Molina Healthcare | $32 | 115% |
| Molina Healthcare Of California | $32 - $76 | 115% |
| Caloptima | $33 | 119% |
| Alta Med Health Services Med Grp | $34 - $49 | 123% |
| San Miguel Health Plan | $34 | 123% |
| Chinatown Service Center Pace | $36 | 130% |
| Ahmc Health Self-Insurance Epo | $38 | 137% |
| Knox-Keene Act | $38 | 137% |
| Intercomp | $40 | 144% |
| Ahmc Reciprocity Agreement | $41 - $58 | 148% |
| Ahmc Reciprocity Agreement Senior/Commercial | $41 - $58 | 148% |
| Lincoln Hospital Medical Center | $41 - $58 | 148% |
| Preferred Health Network | $42 | 152% |
| Interplan | $43 - $146 | 155% |
| Athens Administrators | $44 | 159% |
| Multiplan | $44 - $166 | 159% |
| Other Non Contracted Work Comp | $44 | 159% |
| Central Health Plan | $57 - $136 | 206% |
| Allied Physicians Medical Group | $60 | 216% |
| California Thoroughbred Horesmans Foundation | $69 - $98 | 249% |
| Universal Care | $69 - $136 | 249% |
| Care 1St Health Plan | $83 - $117 | 299% |
| Cost Containment Strategies | $90 - $127 | 325% |
| In Custody Police Dept | $90 - $127 | 325% |
| Community Care Network | $110 - $156 | 397% |
| Health Payors Organization | $124 - $176 | 447% |
| Cigna | $138 - $195 | 498% |
| Commercial Non Contract | $138 - $195 | 498% |
| Medi-Cal Sub Acute | $138 - $195 | 498% |
| Nuclear Medicine/Whmc | $138 - $195 | 498% |
| One Legacy | $138 - $195 | 498% |