CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: University Of Kansas Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $68
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 2.45x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at University Of Kansas Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 2.45x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $34 (123%)
Insurance Median: $68 (245%)
Cash: $34 (123% of Medicare)
Ins. Median: $68 (245% 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 245% of the Medicare baseline (a markup of 145%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Larned State Hospital [503200090] $22 - $77 79%
Medicare (plans) $26 94%
Lasso Healthcare [503999926] $26 94%
UnitedHealthcare $26 - $265 94%
Workers Comp [503999901] $26 - $265 94%
Aetna $26 - $36 94%
Agency [50311255] $26 94%
Humana $26 94%
Devoted [503200068] $26 94%
Ku Athletics [503200094] $26 94%
Allwell [503200078] $27 97%
American Health Plans [503200968] $27 97%
Blue Cross Blue Shield $27 - $201 97%
Oscar [503201609] $31 112%
Centurion [5032000966] $34 123%
Health Plan Inc [503999941] $36 - $123 130%
Alt Carelon Behavioral Health [503200905] $38 - $131 137%
Accarent Health [503999034] $38 - $131 137%
Ambetter / Centene $44 159%
Php [503200005] $46 - $194 166%
Healthlink [503200007] $46 - $194 166%
Alt Wppa [5032000964] $46 - $159 166%
Geha [503200036] $46 - $265 166%
Cerner [503200038] $46 - $159 166%
Med-Pay [503200040] $46 - $159 166%
Inter-Americas Insurance [503999032] $46 - $159 166%
Allied National [503999937] $46 - $157 166%
Centivo [5032000982] $49 177%
Wellfit [503301514] $49 177%
First Health [5032000110] $50 - $173 180%
6 Degrees Health [503999050] $50 - $65 180%
Aha-Healthcare Preferred [503200050] $50 - $173 180%
Coeur Plan Services [503301517] $53 - $183 191%
Consolidated Billing [50311256] $53 - $183 191%
Ascension Living Hope [503201517] $53 - $183 191%
Correct Care Solutions [50311253] $53 - $183 191%
Fort Hays State Student Athletes [5032000960] $54 - $90 195%
Occunet [503999930] $54 - $90 195%
Orscheln Industries [503201608] $57 - $196 206%
Alt Lucent Health Solutions [503202603] $58 - $201 209%
Empire Plan/Nyship [503200705] $58 - $201 209%
Alt Lineco [5032000976] $58 - $201 209%
Quiktrip [5032000412] $61 - $210 220%
Century Health Solutions [503200054] $61 - $210 220%
Point Comfort Underwriters [503200018] $61 - $210 220%
Cigna $61 - $338 220%
Wppa [503200056] $64 - $220 231%
Meritain Health [503200039] $64 - $220 231%
Employers Health Network [503999025] $68 - $236 245%
Plan Care America [503999026] $68 - $236 245%
Three Rivers Provider Network [503999029] $68 - $236 245%
Sanford Health Plan [503999027] $68 - $236 245%
Usa Managed Care [503999030] $68 - $236 245%
Claimdoc [503301509] $70 253%
Multiplan [503200057] $70 253%
Advanced Medical Pricing Solutions [503301513] $77 278%
Hchsync Centrus Health Direct [503999916] $130 - $150 469%
Medica [503200074] $216 - $265 779%
National Assn Letter Carriers [503200019] $338 1219%

Consumer Guidance & Cost Commentary

For Physical therapy (manual therapy) at the University Of Kansas Hospital, the cash median rate is $34, which is significantly lower than the facility's gross charge of $169. While the facility's negotiated rates range from $22 to $265 depending on the payer, the cash price of $34 may be the most affordable option for patients with high-deductible plans or those without insurance, as it avoids the administrative markup inherent in insurance billing cycles. The facility, a Government - Hospital District or Authority located in Kansas City, KS, maintains a 5-star rating and serves an acute care population.

The Medicare benchmark for this service is $27.72, and the facility's cash rate of $34 is only slightly above this federal baseline, suggesting a pricing strategy that aligns closely with cost-based reimbursement rather than commercial markups. Although the median negotiated rate across 59 payers is $68, the wide variation in allowed amounts—ranging from $22 for Larned State Hospital to $265 for UnitedHealthcare and Workers Comp—highlights the importance of verifying specific plan details before scheduling. Consumers are advised to explicitly request "self-pay" or "prompt-pay" discounts at the time of registration to potentially secure rates closer to the cash median, as waiting until after an insurance claim is processed may result in higher charges due to automatic claims submission.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals