CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: SSM St Clare Health Center

Billing Code: 97140 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$39
about 1.4× the $28 Medicare rate · typically $26–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
Above the fair price
about $9 over the fair price · 1.7× Medicare
Medicare pays $28 Fair price $39 This hospital $48 Cash price $92 Hospital's list price $167

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $23 Priciest $48

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

A fair price for a Physical therapy (manual therapy) is about $39 (about 1.4× the $28 Medicare rate). SSM St Clare Health Center charges insurers about $48, or about $92 in cash — above the fair price. Located in Fenton, MO.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $39. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $27 - $170 97%
Aetnamajor $27 - $28 97%
Humanamajor $27 97%
Oscar Health $32 115%

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: 1015 Bowles, Fenton, MO 63026
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals