CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Mountainview Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $28
  • Cash Discount Price: $360
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Mountainview Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.01x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.
Cash / Self-Pay
$360

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $360 (1299%)
Insurance Median: $28 (101%)
Cash: $360 (1299% of Medicare)
Ins. Median: $28 (101% 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
Aetna $4 - $51 14%
Alignment Health Plan $24 - $28 87%
Ambetter / Centene $24 - $76 87%
Blue Cross Blue Shield $24 - $28 87%
Hometown Health Mcr $24 - $28 87%
Humana $24 - $28 87%
Select Health $24 - $83 87%
Triwest Healthcare Alliance $24 - $28 87%
United $24 - $78 87%
UnitedHealthcare $24 - $28 87%
Caremore $25 - $28 90%
Community Care Health $26 94%
Molina Healthcare $26 - $27 94%
Sierra Hpn $26 94%
Caresource $27 97%
Health Net $27 97%
Imperial Nv $27 - $30 97%
Universal Healthcare $29 - $33 105%
Corvel $78 281%
Olympus Medsave Usa $82 - $270 296%
Prominence Healthfirst $108 390%
Cmn Global $151 545%
Emerging Therapy Solutions $176 - $241 635%
Hometown Health Providers $180 649%
Nv Health & Welfare Trust $216 779%
Multiplan $227 - $263 819%
First Health $238 - $288 859%
Medcare International $270 974%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 N Tenaya Way, Las Vegas, NV 89128
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals