Physical therapy (manual therapy)
Facility: Wesley Medical Center
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $35
- Cash Discount Price: $517
- vs. Medicare Baseline: 1.26x 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 |
|---|---|---|
| UnitedHealthcare | $22 | 79% |
| Coventry Health Care | $23 - $26 | 83% |
| Amerigroup | $23 | 83% |
| Humana | $23 - $26 | 83% |
| Aetna | $23 - $200 | 83% |
| Medicaid / KanCare | $23 | 83% |
| Devoted Health | $23 - $26 | 83% |
| Ambetter / Centene | $24 - $93 | 87% |
| United | $24 - $233 | 87% |
| Triwest Health Alliance | $26 | 94% |
| Correct Care Solutions | $35 - $39 | 126% |
| First Health | $36 - $238 | 130% |
| Multiplan | $37 - $465 | 133% |
| Blue Cross Blue Shield | $42 | 152% |
| Health Partners Of Kansas | $89 - $258 | 321% |
| Wppa | $90 | 325% |
| Preferred Health Choices | $98 | 354% |
| Medical Associates Health Plan | $98 | 354% |
| Spirit Aerosystems | $165 | 595% |
| Triwest Healthcare Alliance | $336 | 1212% |
| Usa Managed Care | $439 | 1584% |
Consumer Guidance & Cost Commentary
For CPT code 97140, Physical therapy (manual therapy), the cash price at Wesley Medical Center in Wichita, KS is $517.00. This cash rate is significantly higher than the state average, which is $27.72 (Medicare amount). While commercial insurance plans like UnitedHealthcare and Coventry Health Care have negotiated rates ranging from $22 to $26, many other payers, including Multiplan and First Health, have negotiated rates as high as $465 and $238 respectively. In cases where your insurance deductible has not been met or your plan has a high deductible, paying the cash price of $517.00 upfront may be more cost-effective than facing a negotiated rate that exceeds this amount, provided you can secure a prompt-pay discount.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency services at in-network facilities, unexpected out-of-network ancillary services or non-emergency care could still result in surprise bills if not carefully managed. To avoid these costs, it is essential to request a full itemized bill before paying, ensuring no unbundled codes or services not rendered are included. Additionally, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can lower the total cost by 20% to 50%. Always verify your specific plan's allowed amount and deductible status to determine the most financially prudent payment option.