CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Elmhurst Hospital Center

Billing Code: 97140 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$129
about 4.6× the $28 Medicare rate · typically $33–$170
modeled estimate · not a bill or quote
What this hospital charges insurers
$102
Below the fair price — a good deal
about $27 under the fair price · 3.6× Medicare
Medicare pays $28 Fair price $129 This hospital $102 Hospital's list price $298

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $26 Priciest $102

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (manual therapy) is about $129 (about 4.6× the $28 Medicare rate). Elmhurst Hospital Center charges insurers about $102 — below the fair price — a good deal. Located in Elmhurst, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $100 - $330 361%
Blue Cross Blue Shieldmajor $84 - $225 303%
Aetnamajor $18 - $192 65%
Cignamajor $241 869%
Fidelis Care $44 - $225 159%
MagnaCare $224 808%
Oscar Health $251 905%
WellCare $33 119%
+ 13 smaller / regional plans $25 - $265
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals