CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Lake Charles Memorial Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $34
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Lake Charles Memorial Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.23x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)
Cash / Self-Pay: $44 (159%)
Insurance Median: $34 (123%)
Cash: $44 (159% of Medicare)
Ins. Median: $34 (123% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $10 - $92 36%
Medicaid / KanCare $10 - $14 36%
Blue Cross Blue Shield $26 94%
Champus_Va $26 94%
Cigna $26 - $62 94%
Humana $26 - $91 94%
Medicare (plans) $26 94%
Tricare $26 94%
Veterans_Administration $26 94%
Veterans_Choice-Triwest $26 94%
Meritain $29 - $37 105%
Verity $31 - $40 112%
Ppo_Plus_ $39 - $50 141%
Phcs $45 - $58 162%
United_Healthcare_Behavorial_Health $45 - $58 162%
Coushatta_Tribe_Dept_Of_Health $47 170%
Lwcc $50 - $64 180%
First_Health $52 - $66 188%
Blue_Cross_Blue_Shield_La $57 206%
Workers_Compensation $58 - $75 209%
Vantage_Commercial $60 216%
United_Healthcare $191 689%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Oak Park Blvd, Lake Charles, LA 70601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals