Physical therapy (manual therapy)
Facility: Kansas Medical Center Llc
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $26
- Cash Discount Price: $47
- vs. Medicare Baseline: 0.94x 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 |
|---|---|---|
| Medicaid / KanCare | $22 | 79% |
| Tricare | $23 | 83% |
| Indian Health | $24 | 87% |
| Medadv_Wellcare | $26 | 94% |
| Ambetter / Centene | $26 | 94% |
| Humana | $26 | 94% |
| Blue Cross Blue Shield | $26 - $55 | 94% |
| Wppa | $31 | 112% |
| Three_Rivers | $53 | 191% |
| Aetna | $58 | 209% |
| United | $78 | 281% |
Consumer Guidance & Cost Commentary
For the CPT code 97140, representing physical therapy (manual therapy), the gross charge at Kansas Medical Center Llc in Andover, KS, is $78.00. This facility's cash median rate of $47.00 is significantly lower than the negotiated rates paid by most commercial payers, which range from $22.00 to $78.00. While the facility's negotiated average of $26.00 is lower than the gross charge, it remains higher than the cash price. For patients with high-deductible plans or those without insurance, paying the cash median of $47.00 may be the most cost-effective option, as it avoids the administrative overhead and markup inherent in insurance billing cycles.
To ensure you are receiving the best possible rate, it is crucial to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront. When evaluating the facility's pricing against state averages, note that the Medicare benchmark for this service is $27.72; the facility's cash rate is approximately 1.7 times the Medicare amount, while the negotiated rate is roughly 1.1 times the Medicare amount, indicating that the cash price represents a more transparent and potentially lower cost for self-pay patients.