CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Greater Baltimore Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $28
Cash Discount Price: $75
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Greater Baltimore Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.01x the Medicare baseline. Located in 6701 North Charles Street, Baltimore, MD.

Cash / Self-Pay

$75

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $75 (271%)

Insurance Median: $28 (101%)

Cash: $75 (271% of Medicare)

Ins. Median: $28 (101% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$23 - $33	83%
Md Physician Care [237]	$23	83%
Medicaid / KanCare	$23	83%
Priority Partners [241]	$23	83%
UnitedHealthcare	$23 - $33	83%
Wellpoint [235]	$23	83%
Alterwood Health [290]	$24	87%
Cigna	$25 - $28	90%
Jai Medical Services [236]	$25	90%
Carefirst Maryland Health Advantage Mca [264]	$28	101%
Carefirst [201]	$28 - $34	101%
Cfchp Mco [239]	$28	101%
Communicare Advantage [300]	$28	101%
Humana	$28	101%
Johns Hopkins [213]	$28 - $38	101%
Keycare Advantage [299]	$28	101%
Medicare (plans)	$28	101%
Provider Partners Health Plan [298]	$28	101%
Carefirst Blue Choice Hmo [253]	$31	112%
Multiplan/Phcs [296]	$33	119%
Carefirst Administrator [252]	$34	123%
First Health Network [268]	$37	133%
Kaiser Permanente Hmo [231]	$40	144%
Usa Managed Care Organization [301]	$43	155%
All Payers	$93 - $101	335%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $75.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97140.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Greater Baltimore Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97140.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.