CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Portsmouth Regional Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $44
  • Cash Discount Price: $245
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Portsmouth Regional Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.59x the Medicare baseline. Located in 333 Borthwick Ave, Portsmouth, NH.
Cash / Self-Pay
$245

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $245 (884%)
Insurance Median: $44 (159%)
Cash: $245 (884% of Medicare)
Ins. Median: $44 (159% 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
Amerihealth Caritas $10 36%
Well Sense Health Plan $20 72%
Aetna $25 - $155 90%
Blue Cross Blue Shield $25 - $109 90%
Cigna $25 - $29 90%
Evernorth Behavioral Health $25 - $29 90%
Humana $25 - $28 90%
United $25 - $162 90%
United Behavioral Health $25 - $28 90%
United Va Ccn $25 - $28 90%
Martin'S Point Health $26 - $29 94%
Sierra Military Health $28 101%
Ambetter / Centene $44 - $50 159%
Maine Community Health $77 - $130 278%
Tufts Health Plan $92 - $140 332%
Harvard Pilgrim $105 379%
Corvel $176 635%
Evernorth $196 707%
Mutual Of Omaha $196 707%
Multiplan $198 714%
First Health $223 804%
Healthcare Value Mgmt $223 804%
Oxford Health Plans $233 841%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 333 Borthwick Ave, Portsmouth, NH 03801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals