CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Essentia Health

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $41
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Essentia Health is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.48x the Medicare baseline. Located in 3000 32Nd Ave South, Fargo, ND.
Cash / Self-Pay
$79

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $79 (285%)
Insurance Median: $41 (148%)
Cash: $79 (285% of Medicare)
Ins. Median: $41 (148% 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
Advocare/Security Health $27 97%
Blue Cross Blue Shield $27 - $56 97%
Freedom Blue Ppo $27 97%
Healthpartners Care Msho / Mcr Adv $27 97%
Imcare Msho Pcc Prime $27 97%
Imcare Msho Ref Req $27 97%
Itasca Med Care $27 97%
Medica Advantage Solutions $27 97%
Medica Msho/Dual Solutions $27 97%
Medica Prime Solution Group $27 97%
Medicare (plans) $27 97%
Nd Va Administration $27 97%
Platinum Blue/Vantage Blue $27 97%
Primewest $27 97%
Primewest Msho $27 97%
Secure Blue Msho $27 97%
Ubh Cost Plan $27 97%
Ubh Msho $27 97%
Ucare Msho $27 97%
UnitedHealthcare $27 - $84 97%
Medica Access $28 101%
Healthpartners Care Pmap $41 148%
Sanford Health Plan $45 - $56 162%
Medica $58 - $65 209%
Medica Uplan $58 209%
Medica Choice $67 242%
Ucare $69 249%
Cigna $70 253%
Healthpartners $70 253%
Healthpartners Pcc Prime $70 253%
Wea $76 - $81 274%
America'S Ppo $81 292%
Wps $88 317%
Aetna $89 321%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 32Nd Ave South, Fargo, ND 58104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals