CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Euclid Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $93
  • Cash Discount Price: $145
  • vs. Medicare Baseline: 3.35x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Euclid Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 3.35x the Medicare baseline. Located in 18901 Lake Shore Boulevard, Euclid, OH.
Cash / Self-Pay
$145

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $145 (523%)
Insurance Median: $93 (335%)
Cash: $145 (523% of Medicare)
Ins. Median: $93 (335% 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 335% of the Medicare baseline (a markup of 235%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
The Health Plan $34 - $134 123%
Aetna $35 - $223 126%
Devoted Health $35 126%
Humana $35 - $190 126%
Mmo $35 - $134 126%
Summacare $35 - $86 126%
United $35 - $238 126%
Upmc $35 - $134 126%
Valor $35 126%
Cigna $36 - $116 130%
Perennial Health $38 137%
Oscar $67 - $86 242%
UnitedHealthcare $74 - $138 267%
Paramount $80 289%
Blue Cross Blue Shield $81 - $144 292%
Buckeye $81 292%
Molina $81 292%
United Bh $82 296%
Caresource $83 299%
Amerihealth $85 307%
Cc Ehp $89 - $90 321%
Aultcare $96 346%
Amish Community Aid Plan $100 - $112 361%
Ohcp $108 390%
Omas $112 404%
Ohio Healthy $120 433%
Healthsmart $123 444%
Php $134 483%
Gms $156 563%
Medical Benefit Corp $156 563%
Quality Care Partners $156 563%
Consociate Health $167 602%
Frontpath $201 725%
Managed Care Services $201 725%
Multiplan $201 725%
Tertiary Care Network $201 725%
Three Rivers $201 725%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18901 Lake Shore Boulevard, Euclid, OH 44119
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals