CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Little Falls Hospital

Billing Code: 97140 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$42
about 1.5× the $28 Medicare rate · typically $25–$117
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $14 under the fair price · 1.0× Medicare
Medicare pays $28 Fair price $42 This hospital $28 Cash price $43 Hospital's list price $161

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 $28

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 $42 (about 1.5× the $28 Medicare rate). Little Falls Hospital charges insurers about $28, or about $43 in cash — below the fair price — a good deal. Located in Little Falls, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $26 - $45 94%
Blue Cross Blue Shieldmajor $26 - $129 94%
Aetnamajor $28 - $48 101%
Cignamajor $114 - $137 411%
Humanamajor $28 - $49 101%
CDPHP $27 - $46 97%
Fidelis Care $28 - $48 101%
MVP Health Care $28 - $46 101%
+ 1 smaller / regional plan $26 - $45

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Facility Profile & Credentials

  • Address: 140 Burwell Street, Little Falls, NY 13365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals