CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Wyckoff Heights Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $33
Cash Discount Price: $168
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Wyckoff Heights Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.19x the Medicare baseline. Located in 374 Stockholm Street, Brooklyn, NY.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $168 (606%)

Insurance Median: $33 (119%)

Cash: $168 (606% of Medicare)

Ins. Median: $33 (119% 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.

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
Healthfirst	$26	94%
Aetna	$30 - $31	108%
Affinity Health	$31	112%
Amerigroup	$31	112%
Blue Cross Blue Shield	$31	112%
Centers Plan For Health Living	$31	112%
Emblem Health	$31 - $36	112%
Fidelis	$31	112%
Interga	$31	112%
Metroplus	$31 - $35	112%
UnitedHealthcare	$31 - $235	112%
Partners Health Plan	$32	115%
Senior Whole Health	$32	115%
Wellcare	$32 - $35	115%
Agewell	$33	119%
Alphacare	$33	119%
Amida Care	$33	119%
Elderplan	$33	119%
Hamaspik	$33	119%
Humana	$33	119%
Visiting Nurse Services	$33	119%
Cigna	$85 - $106	307%
Oscar	$102	368%
Magnacare (Brighton Health Plan )	$106	382%

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 $168.
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 Wyckoff Heights Medical Center 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.