CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Bertrand Chaffee Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $27
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Bertrand Chaffee Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 0.97x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $58 (209%)
Insurance Median: $27 (97%)
Cash: $58 (209% of Medicare)
Ins. Median: $27 (97% 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
Univera Essential Plans $23 83%
Univera Hc Child Health+ $23 83%
Univera Hc Myhealth+ $23 83%
Univera Plus Med $23 83%
Blue Cross Blue Shield $26 - $49 94%
Senior Blue - Bc $26 94%
Advantra-Mcr Advantage $27 97%
Aetna $27 - $68 97%
Centers Plan Hlty Living $27 97%
Champva $27 97%
Cigna $27 - $68 97%
Ctrs Plan For Hlthy Livng $27 97%
Geisinger Health Plan $27 97%
Humana $27 97%
Lifetime Benefits $27 97%
Medicare (plans) $27 97%
Mutual Of Omaha $27 97%
Optimum Healthcare - Mcr $27 97%
Todays Option - Amer Prog $27 97%
Tricare $27 97%
United Hc Mcr Solutions $27 97%
UnitedHealthcare $27 97%
Univera Senior Choice $27 97%
Wellcare $27 97%
Univera Healthcare $30 108%
Private Pay $58 209%
American Progressive Ins. $68 245%
Commercial / Misc $68 245%
Global Excel Mgt $68 245%
Guardian Life Ins. Co. $68 245%
Mvp Commercial $68 245%
No Amer Meritian Health $68 245%
No-Fault $68 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals