CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Valley Children's Hospital

Billing Code: 97140 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$42
about 1.5× the $28 Medicare rate · typically $24–$75
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $6 over the fair price · 1.7× Medicare
Medicare pays $28 Fair price $42 This hospital $48 Hospital's list price $240

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $19 Priciest $48

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (manual therapy) is about $42 (about 1.5× the $28 Medicare rate). Valley Children's Hospital charges insurers about $48 — about the fair price. Located in Madera, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $49 - $171 177%
Blue Cross Blue Shieldmajor $58 - $719 209%
Aetnamajor $161 581%
Kaiser Permanentemajor $32 - $156 115%
Health Net $84 - $157 303%
+ 26 smaller / regional plans $32 - $204
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens