Physical therapy (manual therapy)
Facility: Kansas Surgery & Recovery Center
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $38
- Cash Discount Price: $75
- vs. Medicare Baseline: 1.37x 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 |
|---|---|---|
| Blue Cross Blue Shield | $25 - $38 | 90% |
| Aetna | $25 - $46 | 90% |
| UnitedHealthcare | $26 - $75 | 94% |
| Cigna | $75 | 271% |
Consumer Guidance & Cost Commentary
For the CPT code 97140, representing physical therapy with manual therapy, the Kansas Surgery & Recovery Center in Wichita lists a cash price of $75.00, which matches the facility's cash median. This cash rate is significantly higher than the Medicare benchmark of $27.72, reflecting a markup of 140% above the federal baseline. While the facility offers a negotiated rate of $38.00 for in-network patients, this amount remains above the Medicare amount. Given that commercial negotiated rates often include administrative overhead and contract premiums, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, provided their out-of-pocket costs exceed the cash rate.
The facility's pricing structure varies by payer, with allowed amounts ranging from $25 to $75 depending on the insurance plan. Blue Cross Blue Shield and Aetna have negotiated rates between $25 and $46, while UnitedHealthcare allows up to $75, and Cigna sets a fixed rate of $75. Because these negotiated rates are contractual ceilings, they do not guarantee the lowest possible price; some in-network facilities charge substantially more than others for the same service. Patients should verify their specific plan's allowed amount before scheduling and inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront. Additionally, since over 80% of hospital bills contain errors, requesting a detailed itemized statement is essential to identify any unbundled codes or services not rendered before finalizing payment.