CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: St Elizabeth Edgewood

Billing Code: 97140 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$32
about 1.1× the $28 Medicare rate · typically $28–$41
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $4 under the fair price · 1.0× Medicare
Medicare pays $28 Fair price $32 This hospital $28 Cash price $77 Hospital's list price $77

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $14 Priciest $28

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (manual therapy) is about $32 (about 1.1× the $28 Medicare rate). St Elizabeth Edgewood charges insurers about $28, or about $77 in cash — below the fair price — a good deal. Located in Edgewood, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $27 97%
Blue Cross Blue Shieldmajor $26 - $28 94%
Ambetter (Centene) $52 188%
Devoted Health $28 101%
WellCare $28 101%
+ 1 smaller / regional plan $58 - $65

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1 Medical Village Drive, Edgewood, KY 41017
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals