CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Mary Lanning Healthcare

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $46
Cash Discount Price: $100
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Mary Lanning Healthcare is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.66x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $100 (361%)

Insurance Median: $46 (166%)

Cash: $100 (361% of Medicare)

Ins. Median: $46 (166% 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
UnitedHealthcare	$21 - $160	76%
Tricare	$25	90%
Workers Compensation-All Plans	$26 - $40	94%
Aetna	$27 - $149	97%
Blue Cross Blue Shield	$27 - $169	97%
Medica Mcr Adv	$27	97%
Ne Total Care Mcr Adv	$27	97%
Va Ccn - All Plans	$27	97%
Consociate Inc-All Plans	$41 - $142	148%
Ambetter / Centene	$44 - $119	159%
Midlands Choice-All Plans	$45 - $152	162%
Medica-All Other Plans	$46 - $147	166%
Multiplan-All Plans	$48 - $160	173%
Provider Network Of America-All Plans	$48 - $152	173%
Nhn/Mna-All Plans	$50 - $137	180%

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 $100.
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 Mary Lanning Healthcare 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.