Physical therapy (manual therapy)
Facility: Cheyenne County Hospital
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $79
- Cash Discount Price: $83
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $50 | 180% |
| First Health - All Plans | $58 | 209% |
| Aetna | $60 - $79 | 216% |
| Healthy Blue Mcr Adv | $60 | 216% |
| Tricare | $60 | 216% |
| Choice Care - All Plans | $60 | 216% |
| UnitedHealthcare | $60 - $230 | 216% |
| Firstguard - All Plans | $66 | 238% |
| Wppa - All Plans | $75 | 271% |
| Preferred Hc - All Plans | $79 | 285% |
| Cpm - All Plans | $79 | 285% |
| Integrated Hp - All Plans | $81 | 292% |
| Ppo Next - All Plans | $81 | 292% |
| Midlands Choice - All Plans | $81 | 292% |
| Unicare - All Plans | $81 | 292% |
| Health Partners - All Plans | $81 | 292% |
| Healthwave Mcaid - All Plans | $83 | 299% |
| Healthy Blue Mcaid - All Other Plans | $83 | 299% |
| Childrens Mercy - All Plans | $83 | 299% |
| Providers Care-All Plans | $124 | 447% |
Consumer Guidance & Cost Commentary
For the CPT code 97140, representing physical therapy with manual therapy, Cheyenne County Hospital lists a cash price of $83.00. This cash rate is identical to the facility's negotiated median of $79.00 and the cash median for the state, indicating that paying out-of-pocket aligns with the standard commercial rates seen across Kansas. While the facility's gross charge is $83.00, patients should be aware that commercial insurance negotiated rates vary significantly, ranging from $50.00 for Blue Cross Blue Shield to $124.00 for Providers Care-All Plans. Because commercial rates often include administrative overhead and contract markups that can push prices well above the cash price, patients with high-deductible plans may find that paying the $83.00 cash rate is more cost-effective than relying on an insurance plan that negotiates a higher allowed amount.
To ensure you are receiving the best possible price, it is recommended to request an itemized bill before finalizing payment, as summary bills can obscure individual line items and potential errors. If you choose to pay directly, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% when paid upfront. Additionally, since the facility is a Critical Access Hospital in St. Francis, KS, verify your specific plan's allowed amount, as some insurers may negotiate rates lower than the cash price, though others may exceed it. Always confirm whether your plan requires a self-pay classification to access these lower rates and avoid balance billing by ensuring you understand your network status before scheduling services.