Physical therapy (manual therapy)
Facility: Kingman Healthcare Center
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $136
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 4.91x 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 491% of the Medicare baseline (a markup of 391%). 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 | $136 | 491% |
Consumer Guidance & Cost Commentary
For the CPT code 97140, representing physical therapy with manual therapy, the negotiated rate at Kingman Healthcare Center is $136.00. This facility, a voluntary non-profit Critical Access Hospital in Kingman, KS, has a single payer plan with Humana. While specific cash and median paid amounts are not listed for this service, patients should note that cash-pay options can sometimes be more affordable than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount might exceed the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce the final cost by bypassing administrative fees associated with insurance billing cycles.
This service is benchmarked against the Medicare rate of $27.72, which serves as the objective baseline for evaluating pricing markups. The negotiated rate of $136.00 reflects the standard commercial pricing structure for this procedure in this region. Patients are encouraged to request an itemized billing audit before finalizing payment, as summary bills often obscure individual charges and may include unbundled codes or services not rendered. By comparing the facility's rates to the Medicare benchmark and verifying the breakdown of charges, consumers can ensure they are not overpaying for bundled components or services that were never delivered.