CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: PAM Rehabilitation Hospital of Centennial Hills

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $78
Cash Discount Price: $130
vs. Medicare Baseline: 2.81x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at PAM Rehabilitation Hospital of Centennial Hills is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 2.81x the Medicare baseline. Located in 6166 N Durango Dr, Las Vegas, NV.

Cash / Self-Pay

$130

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $130 (469%)

Insurance Median: $78 (281%)

Cash: $130 (469% of Medicare)

Ins. Median: $78 (281% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 281% of the Medicare baseline (a markup of 181%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$13 - $24	47%
Blue Cross Blue Shield	$24 - $60	87%
Molina	$24 - $27	87%
Silver Summit Health Plan	$24	87%
UnitedHealthcare	$24 - $78	87%
Imperial Health	$26	94%
Humana	$27	97%
Ilumed Aco Reach	$27	97%
Scan Health Plan	$27	97%
Select Health	$30	108%
Alignment Health Plan	$39	141%
Teachers Health Trust	$65	234%
Cigna	$80	289%
Americas Choice Provider Network	$91	328%
Provider Network Of America	$97	350%
Quik Trip	$97	350%
Usa Managed Care Organization	$97	350%
Velocity Provider Ppo Network	$97	350%
Multiplan/Phcs	$104	375%
Nevada Preferred (Prominence)	$105	379%
Prime Health Services	$110	397%

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 $130.
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 PAM Rehabilitation Hospital of Centennial Hills 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.