CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Adventist Health Tehachapi Valley

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $44
Cash Discount Price: $48
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Adventist Health Tehachapi Valley is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.59x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$48

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $48 (173%)

Insurance Median: $44 (159%)

Cash: $48 (173% of Medicare)

Ins. Median: $44 (159% 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.

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	$21 - $100	76%
Medi-Cal	$22 - $32	79%
Universal Ipa Mcal Op/Profee Only	$22 - $32	79%
Healthnet Mcare	$29 - $53	105%
Tricare	$29 - $53	105%
UnitedHealthcare	$29 - $137	105%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$29 - $53	105%
Ah Employee Health Plan - All Plans	$32 - $148	115%
Cigna	$32 - $218	115%
Kaiser Medi-Cal Ip/Op Only	$32	115%
Network Providers- All Plans	$32 - $68	115%
Bc Mcal	$33	119%
Oscar Health Plan- All Plans	$33 - $47	119%
Coventry- All Plans	$35 - $251	126%
Healthnet Medi-Cal	$39	141%
Western Grwrs/Pinnacle - All Plans	$40 - $117	144%
Khs-Kern Hlth Systm Mcal	$41	148%
Blue Shield Epn- All Other Plans	$42 - $98	152%
Healthnet- All Other Plans	$42 - $215	152%
Blue Cross Blue Shield	$44 - $169	159%
Blue Shield Non-Epn	$44 - $171	159%
Centivo - All Plans	$44 - $119	159%
Klhp-Kern Legacy Epo -All Other Plans	$44 - $55	159%
Medicare (plans)	$53	191%
Kaiser Ip/Op Only- All Other Plans	$91	328%

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 $48.
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 Adventist Health Tehachapi Valley 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.