Physical therapy (manual therapy)
Facility: Morris County Hospital
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $89
- Cash Discount Price: $74
- vs. Medicare Baseline: 3.21x 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 321% of the Medicare baseline (a markup of 221%). 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 |
|---|---|---|
| Va Ccn-All Plans | $47 - $48 | 170% |
| Blue Cross Blue Shield | $47 - $58 | 170% |
| UnitedHealthcare | $47 - $124 | 170% |
| Choice Care Mcr Adv-All Plans | $47 - $48 | 170% |
| Coventry Mcr | $47 - $48 | 170% |
| Cigna | $88 - $90 | 317% |
| Aetna | $108 - $111 | 390% |
| Multiplan-All Plans | $109 - $112 | 393% |
| Coventry Comm-All Other Plans | $109 - $112 | 393% |
| Providrs Care (Wppa)(Nexus)-All Plans | $182 - $186 | 657% |
Consumer Guidance & Cost Commentary
For the CPT code 97140, representing physical therapy with manual therapy, Morris County Hospital in Council Grove, Kansas, lists a cash median price of $74.00 and a median negotiated rate of $89.00. While the facility is a Critical Access Hospital with government-local ownership, patients should note that cash payment can sometimes be more cost-effective than using insurance, particularly if their plan has a high deductible or if the insurance negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final amount owed before any insurance claim is processed.
The data indicates that the facility's cash rate is significantly higher than the state average, which is reflected in a Medicare benchmarking comparison of 3.2 times the Medicare amount of $27.72. Although the facility has a facility rating of 3, the wide variation in negotiated rates across different payers—ranging from $47 to $186—highlights the importance of verifying specific plan allowances. Consumers should avoid accepting summary bills and instead request a detailed, itemized statement to ensure no errors exist, as over 80% of hospital bills contain discrepancies. Furthermore, if a patient encounters a balance bill from an out-of-network provider, they may be entitled to protections under the No Surprises Act, which prohibits surprise billing for emergency and non-emergency services at in-network facilities.