Physical therapy (manual therapy)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $26
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x 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 |
|---|---|---|
| Va | $26 | 94% |
| Humana | $26 | 94% |
| Medicare (plans) | $26 | 94% |
| UnitedHealthcare | $26 - $72 | 94% |
| Saint Lukes Health Systems | $26 | 94% |
| Vc Hope | $26 | 94% |
| Via Christi Research | $26 | 94% |
| Blue Cross Blue Shield | $26 | 94% |
| Corizon | $32 | 115% |
| Smarthealth | $36 | 130% |
| Medicaid / KanCare | $44 | 159% |
| Coventry City Of Wichita | $68 | 245% |
| Mdsave | $70 | 253% |
| Aetna | $85 | 307% |
Consumer Guidance & Cost Commentary
For the CPT code 97140, representing physical therapy with manual therapy, the negotiated rates at Ascension Via Christi Hospitals Wichita, Inc. range from $26 to $85 depending on the insurance carrier. The median negotiated rate across all payers is $26, which aligns closely with the state average for Kansas. However, patients should be aware that cash prices are often lower than these insurance negotiated rates; in this case, the cash median is not available, but understanding that commercial rates can exceed cash prices is crucial for those with high-deductible plans. While the facility is a voluntary non-profit acute care hospital in Wichita, KS, the specific cash price for this service is not disclosed in the current data, so patients should directly inquire about self-pay or prompt-pay discounts before scheduling to potentially reduce out-of-pocket costs.
When comparing this service to federal benchmarks, the Medicare amount for this procedure is $27.72. The facility's median negotiated rate of $26 is slightly below the Medicare benchmark, indicating a rate that is competitive relative to the federal standard. It is important to note that while commercial insurance contracts often include administrative overhead that can inflate prices by 20% to 40%, this specific code shows a negotiated rate that does not exceed the Medicare baseline. Patients should verify their specific plan's allowed amount, as some insurers may negotiate different rates within the $26 to $85 range observed across various payers like UnitedHealthcare and Aetna. Always request an itemized bill to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal audit.