CMS Price Transparency Data
Physical therapy (manual therapy)
Facility: Chelsea Hospital
Billing Code: 97140 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97140
- Insurance Median: $151
- Cash Discount Price: $148
- vs. Medicare Baseline: 5.45x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Chelsea Hospital is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 5.45x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$148
Average discount available for prompt cash payment at this facility.
Insurance Median
$151
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: $148 (534%)
Insurance Median: $151 (545%)
Cash: $148 (534% of Medicare)
Ins. Median: $151 (545% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 545% of the Medicare baseline (a markup of 445%). 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.
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 |
|---|---|---|
| Blue Cross Blue Shield | $15 - $84 | 54% |
| Medicaid / KanCare | $15 | 54% |
| Aetna | $27 - $125 | 97% |
| Blue Care Network Advantage | $27 | 97% |
| Medicare (plans) | $27 - $28 | 97% |
| Align Senior Care | $28 | 101% |
| Angela Hospice | $28 | 101% |
| Arbor Hospice | $28 | 101% |
| Heartland Hospice | $28 | 101% |
| UnitedHealthcare | $28 - $153 | 101% |
| Cca - Zing Health | $29 | 105% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $31 | 112% |
| Molina Marketplace | $36 | 130% |
| U Of M Health Plan | $42 | 152% |
| Health Cost Solutions | $43 | 155% |
| Vitalcore | $43 | 155% |
| Wellpath | $43 | 155% |
| Priority Health | $53 - $58 | 191% |
| Wc Accident Fund | $60 | 216% |
| Wc Advantage | $60 | 216% |
| Wc Aig | $60 | 216% |
| Wc Allied | $60 | 216% |
| Wc Amerisure | $60 | 216% |
| Wc Amtrust | $60 | 216% |
| Wc Asu Risk Mgt | $60 | 216% |
| Wc Berkley Admin | $60 | 216% |
| Wc Broadspire | $60 | 216% |
| Wc Bunch & Associates | $60 | 216% |
| Wc Ccmsi | $60 | 216% |
| Wc Emc Insurance Company | $60 | 216% |
| Wc Esis | $60 | 216% |
| Wc Fcci | $60 | 216% |
| Wc Federated | $60 | 216% |
| Wc Gallagher Bassett | $60 | 216% |
| Wc Genex Care For Ohio | $60 | 216% |
| Wc Guard Insurance Company | $60 | 216% |
| Wc Hartford | $60 | 216% |
| Wc Liberty Mutual | $60 | 216% |
| Wc Meijers | $60 | 216% |
| Wc Michigan | $60 | 216% |
| Wc Mitchell Frankenmuth | $60 | 216% |
| Wc Pma | $60 | 216% |
| Wc Sedgwick | $60 | 216% |
| Wc Sentry | $60 | 216% |
| Wc Travelers | $60 | 216% |
| Wc Tristar | $60 | 216% |
| Wc Walmart | $60 | 216% |
| Wc Zurich | $60 | 216% |
| Employee Benefit Logistic | $62 | 224% |
| Asr Health Benefits | $75 | 271% |
| Caresource | $75 | 271% |
| Hap | $75 - $176 | 271% |
| Varipro | $75 | 271% |
| Bcn Domestic | $84 | 303% |
| Blue Benefit Administrators Of Massachusetts | $84 | 303% |
| Blue Care Network | $84 | 303% |
| Blue Distinction Transplant | $84 | 303% |
| Blue Shield - Ca | $84 | 303% |
| Blue Shield - Id (Regence) | $84 | 303% |
| Blue Shield - Ny Highmark Northeastern | $84 | 303% |
| Blue Shield - Ny Highmark Western | $84 | 303% |
| Blue Shield - Pa (Highmark) | $84 | 303% |
| Blue Shield - Wa (Regence) | $84 | 303% |
| Health Choices | $84 - $151 | 303% |
| Kaiser Domestic | $84 | 303% |
| Geha | $125 - $153 | 451% |
| Meritain | $125 | 451% |
| Access Health | $151 | 545% |
| Acclaim | $151 | 545% |
| Administrative Concepts | $151 | 545% |
| Allegeant | $151 | 545% |
| Ameriben | $151 | 545% |
| American Family | $151 | 545% |
| American Healthcare Alliance | $151 | 545% |
| American National | $151 | 545% |
| American Republic | $151 | 545% |
| Amerihealth | $151 | 545% |
| Aultcare | $151 | 545% |
| Automated Benefit Services | $151 | 545% |
| Auxiant | $151 | 545% |
| Benefit Administrative Systems,Llc | $151 | 545% |
| Boon Chapman | $151 | 545% |
| Cam Administrative Services | $151 | 545% |
| Christian Brother Services | $151 | 545% |
| Christian Brothers Holy Cross | $151 | 545% |
| Comprehensive Benefits | $151 | 545% |
| Continental Life Insurance | $151 | 545% |
| Custom Benefit Administrators | $151 | 545% |
| Employee Benefit Concepts | $151 | 545% |
| Employee Benefit Management | $151 | 545% |
| Enterprise Group Planning | $151 | 545% |
| Freedom Life Insurance Company | $151 | 545% |
| Group Administrators | $151 | 545% |
| Group Marketing Services | $151 | 545% |
| Guardian | $151 | 545% |
| Health America | $151 | 545% |
| Healthcare Management Admin | $151 | 545% |
| Healthez | $151 | 545% |
| Humana | $151 | 545% |
| Insight | $151 | 545% |
| Intercare | $151 | 545% |
| Jfp Benefit Management | $151 | 545% |
| Jp Farley Corporation | $151 | 545% |
| Key Benefit Administrator | $151 | 545% |
| Liberty Union Life Assurance Co | $151 | 545% |
| Lucent Health | $151 | 545% |
| Luminare Health | $151 | 545% |
| Luminare Health (Detroit) | $151 | 545% |
| Magnacare | $151 | 545% |
| Medben | $151 | 545% |
| Medcost | $151 | 545% |
| Medical Mutual | $151 | 545% |
| Mutual Health Services | $151 | 545% |
| Mutual Of Omaha | $151 | 545% |
| Ncas | $151 | 545% |
| Nippon Life Ins | $151 | 545% |
| Nova | $151 | 545% |
| Painters Union Insurance Fund | $151 | 545% |
| Physicians Mutual | $151 | 545% |
| Plumbers Local 98 Insurance Fund | $151 | 545% |
| Prairie States | $151 | 545% |
| Preferred One | $151 | 545% |
| Primary Physician Care | $151 | 545% |
| Professional Benefit Administrators | $151 | 545% |
| Siho Insurance Services | $151 | 545% |
| Sisco Benefits | $151 | 545% |
| The Loomis Company | $151 | 545% |
| Unicare | $151 | 545% |
| Us Health And Life | $151 | 545% |
| Valenz | $151 | 545% |
| Western & Southern Financial Group | $151 | 545% |
| Wps | $151 | 545% |
| Coventry | $155 | 559% |
| First Health | $155 | 559% |
| Hospice Of Michigan | $159 | 574% |
| Cigna | $160 | 577% |
| 1199 National Benefit Fund | $170 | 613% |
| Allied National Global Care | $170 | 613% |
| Asrm - Reliance Standard Life Insurance | $170 | 613% |
| Christian Care Ministry | $170 | 613% |
| Dean Health | $170 | 613% |
| Fallon Health | $170 | 613% |
| Family Life Insurance Company | $170 | 613% |
| Ghc Scw | $170 | 613% |
| Group Pension Administrators | $170 | 613% |
| International Benefit Administrators | $170 | 613% |
| Lifetime Benefit Solutions | $170 | 613% |
| Manhattan Life | $170 | 613% |
| Medi Share | $170 | 613% |
| Multiplan | $170 | 613% |
| Mvp | $170 | 613% |
| Pai | $170 | 613% |
| Pan-American Life | $170 | 613% |
| Paramount Hmo | $170 | 613% |
| Phcs | $170 | 613% |
| Trinity Health Share | $170 | 613% |
| Health Partners | $176 | 635% |
| Tufts Health Plan | $176 | 635% |
| Prime Health Services | $182 | 657% |
| Three Rivers Provider Network | $204 | 736% |
| Cmh Detroit Wayne Integrated Health Network | $227 | 819% |
| Cmh Jackson County/Lifeways | $227 | 819% |
| Cmh Lenawee County | $227 | 819% |
| Cmh Livingston County | $227 | 819% |
| Cmh Misc | $227 | 819% |
| Cmh Monroe County | $227 | 819% |
| Cmh Washtenaw County | $227 | 819% |
| Magellan Behavioral Health | $227 | 819% |