Physical therapy (manual therapy)
Facility: Greenwood County Hospital
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $51
- Cash Discount Price: $48
- vs. Medicare Baseline: 1.84x 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 |
|---|---|---|
| Triwest - All Plans | $21 | 76% |
| Tricare | $25 | 90% |
| UnitedHealthcare | $25 - $50 | 90% |
| Choicecare Mcr Adv - All Plans | $25 | 90% |
| Integrated Health Plan - All Plans | $45 | 162% |
| Blue Cross Blue Shield | $48 - $50 | 173% |
| First Health - All Other Plans | $51 | 184% |
| Beech Street - All Plans | $51 | 184% |
| First Health Ccn Network | $51 | 184% |
| Preferred Hs (Coventry) - All Plans | $54 | 195% |
| Principal Health Care Inc - All Plans | $57 | 206% |
| Medicaid / KanCare | $60 | 216% |
| Amerigroup Mcaid-All Plans | $60 | 216% |
| Providrs Care/Wppa - All Plans | $90 | 325% |
Consumer Guidance & Cost Commentary
For this physical therapy session at Greenwood County Hospital in Eureka, Kansas, the cash price of $48.00 is notably lower than the facility's negotiated rates with most major payers, which range from $21.00 to $90.00 depending on the specific insurance plan. While the median negotiated amount across all payers is $51.00, patients with high-deductible plans may find the cash price more advantageous, as it avoids the administrative overhead and potential balance billing associated with insurance claims. It is important to note that the facility is a Critical Access Hospital with government local ownership, and patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling to ensure they receive the lowest possible rate, as billing systems often default to insurance processing once a card is on file.
The facility's cash price of $48.00 is also lower than the state of Kansas average for this procedure, which is $50.00, and aligns closely with the national median paid amount of $50.00. When compared to the Medicare benchmark of $27.72, the cash price represents a markup of 1.8 times the federal rate, which falls within the range of fair pricing typically defined as 120% to 150% of Medicare. If you choose to use insurance, be aware that while the facility is in-network for many plans, the allowed amounts vary significantly, with some payers like Triwest and Tricare covering $25.00 and others like Providrs Care/Wppa covering $90.00. To avoid unexpected costs, always verify your specific plan's allowed