Physical therapy (manual therapy)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $50
- Cash Discount Price: $63
- vs. Medicare Baseline: 1.80x 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 |
|---|---|---|
| Direct Benefit-All Plans | $17 | 61% |
| UnitedHealthcare | $20 - $70 | 72% |
| Berkley Net-All Plans | $28 | 101% |
| Aetna | $31 - $48 | 112% |
| Trustmark Health Benefits-All Plans | $31 | 112% |
| Meritain Health-All Plans | $32 | 115% |
| Ambetter / Centene | $34 | 123% |
| Axa Equitable - All Plans | $38 | 137% |
| Pinnacol-All Plans | $39 | 141% |
| Medi-Share-All Plans | $40 | 144% |
| Presbyterian-All Plans | $43 | 155% |
| Kasb Work Comp - All Plans | $45 | 162% |
| The Kempton Group Admin-All Plans | $48 | 173% |
| Gpha(Wppa)-All Other Plans | $49 | 177% |
| Auxiant - All Plans | $49 | 177% |
| Emc-All Plans | $50 | 180% |
| Wppa- All Plans | $50 | 180% |
| Providers Care Network- All Plans | $50 | 180% |
| Sisco-All Plans | $50 | 180% |
| Gpha Employee Benefit Plan | $51 | 184% |
| Employee Benefit-All Plans | $52 | 188% |
| Regional Care(Wppa)-All Plans | $52 | 188% |
| First Health -All Plans | $53 | 191% |
| Triangle-All Plans | $53 | 191% |
| One Call Physician-All Plans | $54 | 195% |
| Blue Cross Blue Shield | $55 | 198% |
| Christian Hospital Aid - All Plans | $56 | 202% |
| Tricare | $56 | 202% |
| Humana | $60 | 216% |
| Cigna | $62 | 224% |
| Luminare Health- All Plans | $62 | 224% |
| Coresource-All Plans | $63 | 227% |
| Deseret Mutual(Uhis)-All Plans | $63 | 227% |
| Vaccn-All Plans | $64 | 231% |
| Reserve National-All Plans | $66 | 238% |
| Hma Llc-All Plans | $66 | 238% |
| Wps Vapc-All Plans | $66 | 238% |
| Medicaid / KanCare | $70 | 253% |
Consumer Guidance & Cost Commentary
For this physical therapy service, the facility's cash price of $63.00 is slightly higher than the state average of $50.00, though it remains below the gross chargemaster rate of $70.00. While commercial insurance plans like UnitedHealthcare and Aetna negotiate rates ranging from $20 to $48, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket and seeking prompt-pay discounts. Because the facility is a government-owned Critical Access Hospital in Satanta, KS, patients should verify their specific plan's allowed amount before scheduling, as in-network rates can vary significantly between carriers and may not represent the lowest possible cost.
To ensure you are not overcharged, it is recommended 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. If you receive a surprise balance bill from an out-of-network provider, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Always dispute any unexpected charges in writing rather than accepting summary bills, and remember that commercial negotiated rates often include administrative markups that can be avoided by paying cash directly.