Physical therapy (manual therapy)
Facility: Logan County Hospital
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $77
- Cash Discount Price: $20
- vs. Medicare Baseline: 2.78x 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 278% of the Medicare baseline (a markup of 178%). 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 |
|---|---|---|
| Humana | $42 | 152% |
| Blue Cross Blue Shield | $58 | 209% |
| Health Partners - All Plans | $95 | 343% |
| Medicaid / KanCare | $100 | 361% |
Consumer Guidance & Cost Commentary
For this Physical therapy (manual therapy) service at Logan County Hospital in Oakley, KS, the facility's negotiated rates range from $42 to $100 depending on your specific insurance plan, with the lowest allowed amount being $42 for Humana and the highest at $100 for Medicaid/KanCare. While the facility's cash price of $20 is significantly lower than the negotiated rates, it is important to note that cash payments may not always be the cheapest option for patients with high-deductible plans, as the insurance negotiated rates often exceed the cash price. Additionally, the facility's cash rate of $20 is notably lower than the state average of $69, but patients should verify if their specific insurance plan has a lower allowed amount before scheduling to ensure they are not paying more than necessary.
The facility's negotiated rate of $77 is higher than the state average of $69, and the Medicare benchmark of $27.72 serves as a baseline for evaluating pricing markups. Since commercial negotiated rates often include administrative costs and contract dynamics that can inflate the baseline price by 20% to 40%, it is advisable to check with the hospital directly for "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront. Patients should also request an itemized billing audit to identify any errors or unbundled codes, as over 80% of hospital bills contain mistakes that can be corrected to reduce medical debt.