CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Cleveland Clinic Children's Hospital for Rehab

Billing Code: 97140 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$74

about 2.6× the $28 Medicare rate · typically $27–$126

modeled estimate · not a bill or quote

What this hospital charges insurers

$130

Well above the fair price

about $56 over the fair price · 4.6× Medicare

Medicare pays $28 Fair price $74 This hospital $130 Cash price $123 Hospital's list price $189

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $17 Priciest $130

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

A fair price for a Physical therapy (manual therapy) is about $74 (about 2.6× the $28 Medicare rate). Cleveland Clinic Children's Hospital for Rehab charges insurers about $130, or about $123 in cash — well above the fair price. Located in Cleveland, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $74. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$108 - $139	390%
Blue Cross Blue Shieldmajor	$129 - $143	465%
Aetnamajor	$72 - $189	260%
Cignamajor	$82 - $151	296%
AmeriHealth	$136	491%
CareSource	$132	476%
Molina	$130	469%
Oscar Health	$57 - $73	206%
Paramount	$127	458%
UPMC Health Plan	$113	408%
+ 13 smaller / regional plans	$64 - $170

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 123), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 97140.

Insurance Before you use insurance

Call your insurance company to confirm Cleveland Clinic Children's Hospital for Rehab is in-network.
Ask your insurer whether prior approval is required for CPT code 97140.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Cleveland Clinic Children's Hospital for Rehab

Compare: Physical therapy (manual therapy) at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.