Physical therapy (manual therapy)
Facility: Menorah Medical Center
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $37
- Cash Discount Price: $296
- 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 - $133 | 79% |
| Unicare | $23 | 83% |
| Devoted Health | $23 - $26 | 83% |
| Healthyblue | $23 | 83% |
| Aetna | $23 - $151 | 83% |
| Humana | $23 - $56 | 83% |
| Medicaid / KanCare | $23 | 83% |
| Blue Cross Blue Shield | $23 - $133 | 83% |
| Coventry | $23 - $119 | 83% |
| Wellcare | $24 - $27 | 87% |
| Celtic | $24 - $27 | 87% |
| Cigna | $24 - $236 | 87% |
| Pyramid Life | $25 - $28 | 90% |
| Home State Health Plan | $25 | 90% |
| Triwest Health Alliance | $26 | 94% |
| Multiplan | $30 - $219 | 108% |
| Corvel Corporation | $36 - $192 | 130% |
| Oha Network | $37 - $148 | 133% |
| Ambetter / Centene | $55 | 198% |
| Nhc Advantage | $56 | 202% |
| Oscar | $56 | 202% |
| Wppa Providrs Care Network | $59 | 213% |
| Universal Healthcare | $103 | 372% |
| Coventry Kc Mo | $121 | 437% |
| College Park Family Care Center | $127 | 458% |
| Focus Healthcare Mgmt, Inc | $222 | 801% |
| Cco, Inc. | $222 | 801% |
Consumer Guidance & Cost Commentary
For this physical therapy service at Menorah Medical Center in Overland Park, Kansas, the cash price is $296.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a 1.3x multiplier compared to Medicare's benchmark of $27.72. While commercial insurance plans like Amerigroup and United have negotiated rates ranging from $22 to $151, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the cash rate directly can be more cost-effective than relying on insurance, which may result in higher out-of-pocket costs if the patient's deductible has not yet been met.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fees can reduce the total cost by bypassing administrative processing costs associated with insurance claims. It is also important to request a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be disputed. If a patient receives a balance bill from an out-of-network provider, they should verify the legality of the charge under the No Surprises Act and contact their insurer to request an audit before paying any unexpected amounts.