Physical therapy (manual therapy)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $26
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Va | $26 | 94% |
| Via Christi Research | $26 | 94% |
| Blue Cross Blue Shield | $26 | 94% |
| Saint Lukes Health Systems | $26 | 94% |
| Vc Hope | $26 | 94% |
| Medicare (plans) | $26 | 94% |
| Humana | $26 | 94% |
| UnitedHealthcare | $26 - $72 | 94% |
| Corizon | $32 | 115% |
| Smarthealth | $36 | 130% |
| Medicaid / KanCare | $44 | 159% |
| Coventry City Of Wichita | $68 | 245% |
| Aetna | $85 | 307% |
Consumer Guidance & Cost Commentary
For physical therapy (manual therapy) at Via Christi Hospital Wichita St Teresa, Inc, the negotiated payment rate is $26.00, which aligns with the lowest end of the range observed across all 13 payers in this dataset. While the facility is a voluntary non-profit church-owned acute care hospital in Wichita, KS, the data does not provide specific cash or median paid amounts to directly compare against state or county averages. However, it is important to note that cash-pay rates can sometimes be lower than insurance negotiated rates; if you have a high-deductible plan where your out-of-pocket costs exceed the cash price, paying directly might result in lower total expenses. We strongly recommend contacting the hospital's billing department to inquire about "self-pay" or "prompt-pay" discounts, which can offer significant fee reductions for upfront payment.
The Medicare benchmark for this service is $27.72, and the commercial negotiated rate of $26.00 is slightly below this federal baseline, indicating a pricing structure that is competitive relative to the government's cost-based standard. This finding suggests the facility is not applying a significant markup over the true cost of care, as commercial rates often average 200% to 300% of Medicare. If you receive a bill that appears higher than these figures, you may be facing balance billing if you are out-of-network, or you may have been billed for services not rendered. To ensure accuracy, request a full itemized bill that lists every CPT code and unit cost, as summary bills often obscure errors or unbundled charges. Disputing any discrepancies in writing is the most effective way to avoid unexpected medical debt.