Physical therapy (manual therapy)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $79
- Cash Discount Price: $26
- vs. Medicare Baseline: 2.85x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 285% of the Medicare baseline (a markup of 185%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Ku Athletics [503200094] | $26 | 94% |
| Medicare (plans) | $26 | 94% |
| Humana | $26 | 94% |
| Workers Comp [503999901] | $26 - $111 | 94% |
| UnitedHealthcare | $26 - $92 | 94% |
| Blue Cross Blue Shield | $27 | 97% |
| Allwell [503200078] | $27 | 97% |
| Centurion [5032000966] | $34 | 123% |
| Ambetter / Centene | $37 | 133% |
| Occunet [503999930] | $54 - $90 | 195% |
| Fort Hays State Student Athletes [5032000960] | $54 - $90 | 195% |
| Wppa [503200056] | $55 | 198% |
| Meritain Health [503200039] | $55 - $79 | 198% |
| Alt Wppa [5032000964] | $55 | 198% |
| 6 Degrees Health [503999050] | $65 | 234% |
| Alt Carelon Behavioral Health [503200905] | $66 | 238% |
| Advanced Medical Pricing Solutions [503301513] | $77 | 278% |
| Php [503200005] | $79 | 285% |
| Aetna | $79 | 285% |
| Alt Meritain Health [503999911] | $79 | 285% |
| National Assn Letter Carriers [503200019] | $79 | 285% |
| Cigna | $79 - $105 | 285% |
| Allied National [503999937] | $79 | 285% |
| First Health [5032000110] | $79 | 285% |
| Aha-Healthcare Preferred [503200050] | $79 | 285% |
| Medica [503200074] | $92 | 332% |
| Geha [503200036] | $92 | 332% |
| Correct Care Solutions [50311253] | $92 | 332% |
| Usa Managed Care [503999030] | $118 | 426% |
| Hchsync Centrus Health Direct [503999916] | $130 - $150 | 469% |
Consumer Guidance & Cost Commentary
For CPT code 97140, representing physical therapy (manual therapy), the gross charge at the University of KS Health System Great Bend Campus is $131.00. This facility is located in Great Bend, KS, and serves 30 different payers, with negotiated rates ranging from a low of $26.00 to a high of $150.00. The cash price for this service is $26.00, which aligns with the lowest negotiated rate found among payers such as Ku Athletics and Medicare. While the facility's negotiated rate of $79.00 is significantly higher than the cash price, it remains below the gross charge, reflecting standard administrative adjustments and contract dynamics. Patients should be aware that while in-network insurance typically caps costs at the negotiated rate, paying cash upfront can sometimes result in lower out-of-pocket expenses if the insurance allowed amount exceeds the cash price.
To understand the true cost relative to the region, this facility's pricing can be compared to state and county benchmarks. The Medicare benchmark for this service is $27.72, which serves as the federal baseline for "true cost." The facility's cash rate of $26.00 is slightly below the Medicare benchmark, indicating a competitive baseline price. However, the median negotiated rate of $79.00 represents a substantial markup above the Medicare rate, consistent with commercial pricing structures that often range between 200% and 300% of the Medicare amount. Consumers are encouraged to verify their specific plan's allowed amount before scheduling, as some in-network contracts may offer rates closer to the cash price. Additionally, patients should inquire about "self