Physical therapy (manual therapy)
Facility: Meade District Hospital
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $66
- Cash Discount Price: $70
- vs. Medicare Baseline: 2.38x 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 238% of the Medicare baseline (a markup of 138%). 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 | $66 | 238% |
Consumer Guidance & Cost Commentary
For the CPT code 97140, representing physical therapy with manual therapy, the cash price at Meade District Hospital is $70.00. This cash rate is identical to the facility's negotiated rate of $66.00 and the median cash price reported for this service in the region. While the facility is a Critical Access Hospital in Meade, Kansas, with no specific county average provided for this code, the cash price remains consistent with the facility's own negotiated terms. For patients with high-deductible plans, paying the full $70.00 cash upfront may be more cost-effective than using insurance, as commercial negotiated rates often include administrative overhead that can exceed the direct cash price. Patients should explicitly ask the hospital for self-pay or prompt-pay discounts before scheduling to ensure they are receiving the lowest possible rate.
The Medicare benchmark for this service is $27.72, which serves as a baseline for evaluating the facility's pricing structure. The commercial cash price of $70.00 represents a significant markup relative to the Medicare rate, reflecting the costs of provider work, practice expenses, and malpractice insurance included in the billing process. It is important to note that the median paid amount is not available in the current data, so patients cannot rely on historical insurance reimbursement figures for this specific service. To avoid unexpected costs, consumers should request a detailed, itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included. Disputing any errors in writing is the most effective way to reduce medical debt, as over 80% of hospital bills contain some form of billing error.