CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Hammond Henry Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $110
Cash Discount Price: $132
vs. Medicare Baseline: 3.97x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Hammond Henry Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 3.97x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$132

Average discount available for prompt cash payment at this facility.

Insurance Median

$110

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: $132 (476%)

Insurance Median: $110 (397%)

Cash: $132 (476% of Medicare)

Ins. Median: $110 (397% 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 397% of the Medicare baseline (a markup of 297%). 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
Tricare	$38	137%
Aetna	$43 - $110	155%
Health Alliance Mcare Adv	$43	155%
UnitedHealthcare	$43 - $133	155%
Wellmark Of Ia-All Plans	$74	267%
Blue Cross Blue Shield	$81 - $88	292%
Meridian Health Plan-All Plans	$86	310%
Quad City Community Hc-All Plans	$90	325%
Springfield Armory-All Plans	$96	346%
Ambetter / Centene	$103	372%
Health Alliance-All Other Plans	$110	397%
Multiplan Integrated Hp	$110	397%
Cigna	$113	408%
Multiplan Pponext	$118	426%
Osf Direct Access Network-All Plans	$118	426%
Humana	$120	433%
Multiplan-All Other Plans	$125	451%
Corvel-All Plans	$132	476%
Healthsmart Adult-All Other Plans	$132	476%
Healthsmart Pediatric	$132	476%
Hfn-All Plans	$132	476%
Multiplan Beech Street	$132	476%
Multiplan Phcs Adult	$132	476%
Multiplan Phcs Pediatric	$132	476%
Usa Mco-All Plans	$132	476%

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 $132.
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 Hammond Henry Hospital 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.