CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Alexian Brothers Medical Center 1

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $32
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Alexian Brothers Medical Center 1 is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.15x the Medicare baseline. Located in 800 Biesterfield Rd, Elk Grove Village, IL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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%)
Insurance Median: $32 (115%)
Ins. Median: $32 (115% 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
Aarp $26 94%
UnitedHealthcare $26 - $28 94%
Cigna $27 - $220 97%
Aetna $28 - $83 101%
Blue Cross Blue Shield $28 - $80 101%
Covid-19 Uninsured $28 101%
Humana $28 101%
Medicare (plans) $28 - $29 101%
Molina Healthcare Of Illinois $29 105%
Bright Health $35 126%
Smarthealth $39 141%
Actin Care $43 155%
Ambetter / Centene $45 162%
County Care $83 299%
Family Health Plan $83 299%
Harmony Health Plan $83 299%
Illinicare $83 299%
Medicaid / KanCare $83 299%
Meridian $83 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Biesterfield Rd, Elk Grove Village, IL 60007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals