Physical therapy (manual therapy)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $26
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x 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 |
|---|---|---|
| Medicare (plans) | $26 | 94% |
| Blue Cross Blue Shield | $26 | 94% |
| Humana | $26 | 94% |
| UnitedHealthcare | $26 - $72 | 94% |
| Va | $26 | 94% |
| Vc Hope | $26 | 94% |
| Smarthealth | $36 | 130% |
| Medicaid / KanCare | $44 | 159% |
| Aetna | $65 - $85 | 234% |
| Coventry City Of Wichita | $68 | 245% |
Consumer Guidance & Cost Commentary
For the CPT code 97140, representing physical therapy with manual therapy, the negotiated rates at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, range from $26 to $85 depending on the insurance plan. The facility's median negotiated rate is $26, which aligns with the lowest end of the spectrum observed across 10 payers, including Medicare, Blue Cross Blue Shield, and Humana. While the highest negotiated rate of $85 is seen with Aetna, the majority of plans, such as UnitedHealthcare and Va, fall within the $26 to $72 range. This data reflects the specific contract dynamics between the hospital and each insurer, where rates are capped to protect in-network members but can vary significantly based on the payer's tier and administrative structures.
Patients should be aware that cash-pay options or prompt-pay discounts may offer a lower total cost than the insurance negotiated rates, particularly if the patient has a high deductible or is self-insured. Although specific cash prices are not listed in this report, the facility is a Part A provider in Kansas, and consumers are encouraged to explicitly request a self-pay or prompt-pay discount before scheduling services to avoid being billed the full insurance negotiated amount. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, and they should always request an itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included.