Physical therapy (manual therapy)
Facility: Overland Park Reg Med Ctr
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $37
- Cash Discount Price: $346
- vs. Medicare Baseline: 1.33x 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 |
|---|---|---|
| Amerigroup | $22 | 79% |
| United | $22 - $156 | 79% |
| Aetna | $23 - $176 | 83% |
| Healthyblue | $23 | 83% |
| Humana | $23 - $56 | 83% |
| Coventry | $23 - $139 | 83% |
| Medicaid / KanCare | $23 | 83% |
| Devoted Health | $23 - $26 | 83% |
| Blue Cross Blue Shield | $23 - $149 | 83% |
| Unicare | $23 | 83% |
| Wellcare | $24 - $27 | 87% |
| Cigna | $24 - $27 | 87% |
| Celtic | $24 - $27 | 87% |
| Home State Health Plan | $25 | 90% |
| Pyramid Life | $25 - $28 | 90% |
| Triwest Health Alliance | $26 | 94% |
| Multiplan | $30 - $256 | 108% |
| Corvel Corporation | $36 - $225 | 130% |
| Oha Network | $37 - $173 | 133% |
| Ambetter / Centene | $64 | 231% |
| Oscar | $66 | 238% |
| Nhc Advantage | $66 | 238% |
| Wppa Providrs Care Network | $69 | 249% |
| Universal Healthcare | $121 | 437% |
| Coventry Kc Mo | $142 | 512% |
| College Park Family Care Center | $149 | 538% |
| Cco, Inc. | $259 | 934% |
| Focus Healthcare Mgmt, Inc | $259 | 934% |
Consumer Guidance & Cost Commentary
For the Physical therapy (manual therapy) service (CPT 97140) at Overland Park Reg Med Ctr in Kansas, the cash price is $346.00, which matches the facility's cash median. This rate is 130% higher than the Medicare benchmark of $27.72, indicating a significant markup relative to the federal government's cost-based reimbursement standard. While the facility is an Acute Care Hospital in Overland Park, KS (Zip 66215), the data does not provide specific county or state average rates for this procedure to allow for a direct comparison against regional pricing norms.
Patients should be aware that while insurance negotiated rates act as a ceiling to protect in-network members, they often exceed the cash price due to administrative overhead and contract dynamics. For this specific code, the cash rate of $346.00 is notably higher than the facility's reported median negotiated rate of $37.00, suggesting that paying out-of-pocket might be more cost-effective for those without high-deductible plans or who have already met their deductible. To maximize savings, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can bypass the costly insurance billing cycle and reduce the final bill significantly.