Physical therapy (manual therapy)
Facility: Saint John Hospital
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $27
- Cash Discount Price: $26
- vs. Medicare Baseline: 0.97x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $22 | 79% |
| UnitedHealthcare | $22 - $37 | 79% |
| Healthy Blue | $23 - $28 | 83% |
| Celtic | $23 - $104 | 83% |
| Tricare | $26 | 94% |
| Medicare (plans) | $26 | 94% |
| Aetna | $26 - $39 | 94% |
| Midland Care Connection | $26 | 94% |
| Cigna | $26 | 94% |
| Kansas Superior Select | $27 | 97% |
| Blue Cross Blue Shield | $28 - $58 | 101% |
| Corizon | $37 | 133% |
| Well Path | $37 | 133% |
| Employer Direct Healthcare | $37 | 133% |
| Centurion | $39 | 141% |
| Naphcare | $41 | 148% |
Consumer Guidance & Cost Commentary
For the CPT code 97140, representing physical therapy with manual therapy, Saint John Hospital in Leavenworth, KS, lists a gross charge of $296.00. This facility's cash median rate is $26.00, which is significantly lower than the state average of $27.72 for Medicare and the negotiated rate of $27.00. While the facility's negotiated rates range from $22.00 to $104.00 depending on the insurance plan, the cash price remains the most consistent baseline. Patients with high-deductible plans may find that paying the cash median of $26.00 upfront is more cost-effective than relying on insurance, as commercial negotiated rates often exceed the cash price due to administrative overhead and contract structures.
To ensure you receive the most accurate pricing, it is essential to request an itemized billing audit before finalizing payment, as summary bills can obscure individual charges or unbundled services. Additionally, ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full within a short window. Since the facility is a voluntary non-profit acute care hospital, verify your specific plan's allowed amount with Saint John Hospital prior to scheduling to avoid unexpected balance billing, particularly if your insurance does not cover the service or if ancillary services are out-of-network.