Physical therapy (manual therapy)
Facility: University Of Kansas Hospital
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $68
- Cash Discount Price: $34
- vs. Medicare Baseline: 2.45x 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.
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.
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.