CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Adventist Health Mendocino Coast

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $78
Cash Discount Price: $89
vs. Medicare Baseline: 2.81x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Adventist Health Mendocino Coast is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 2.81x the Medicare baseline. Located in 700 River Drive, Fort Bragg, CA.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $89 (321%)

Insurance Median: $78 (281%)

Cash: $89 (321% of Medicare)

Ins. Median: $78 (281% 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 281% of the Medicare baseline (a markup of 181%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medi-Cal	$22 - $32	79%
Blue Cross Blue Shield	$29 - $470	105%
Cigna	$29 - $151	105%
Tricare	$29 - $95	105%
UnitedHealthcare	$29 - $156	105%
Ah Employee Health Plan - All Plans	$32 - $100	115%
Partnership Hp Mcal-All Plans	$32 - $96	115%
Blue Shield Epn	$42 - $73	152%
Healthnet - All Plans	$42 - $126	152%
Blue Shield - All Other Plans	$44 - $148	159%
Ahcc - All Plans	$78 - $174	281%
Beech Street - All Plans	$78 - $174	281%
Great West Hmo/Pos/Epo/Oa	$78 - $125	281%
Great West Ppo - All Other Plans	$78 - $135	281%
Multiplan - All Plans	$78 - $135	281%

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 $89.
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 Mendocino Coast 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.