CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: St Luke's Nampa Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $54
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at St Luke's Nampa Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.95x the Medicare baseline. Located in 9850 West St Lukes Drive, Nampa, ID.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $68 (245%)
Insurance Median: $54 (195%)
Cash: $68 (245% of Medicare)
Ins. Median: $54 (195% 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.

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
UnitedHealthcare $28 - $56 101%
Blue Cross Blue Shield $44 - $70 159%
Commercial [1028] $44 - $70 159%
Mountain Health Co-Op [1067] $44 159%
Pacificsource [1020] $44 - $51 159%
Select Health [1063] $44 - $70 159%
Slplan Tap Mc St Lukes Health Plan [1641000001] $44 - $70 159%
St Lukes Health Plan [1046] $44 - $70 159%
Aetna $54 - $61 195%
Cigna $54 195%
Providence [1022] $54 195%
Webtpa [1071] $54 - $58 195%
First Health [1064] $56 - $58 202%
Geha [1065] $56 202%
United Medical Resources [1051] $56 202%
Moda [1055] $60 216%
Regence [1005] $61 - $65 220%
Blue Shield Alt [100401] $65 234%
Regence Out Of State [1004] $65 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9850 West St Lukes Drive, Nampa, ID 83687
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals