CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $46
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Oklahoma Heart Hospital, LLC is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.66x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $27 (97%)
Insurance Median: $46 (166%)
Cash: $27 (97% of Medicare)
Ins. Median: $46 (166% 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.

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
Healthcare Highways $19 - $46 69%
Aetna $24 - $35 87%
Humana $24 - $53 87%
Blue Cross Blue Shield $26 - $58 94%
Cigna $26 - $44 94%
Medicare (plans) $26 94%
Va Ccn $26 94%
Veterans Eval Services $26 94%
Healthscope $35 126%
Oscar Insurance Company $35 126%
Ambetter / Centene $36 130%
Webtpa Chickasaw Nation Hch $36 130%
Webtpa Hobby Lobby Hch $41 148%
Coventry $45 162%
Global Health $48 173%
Sana Benefits $50 180%
Ufcw $50 180%
Community Care $51 - $54 184%
First Health Network $53 191%
Manhattan Life $53 191%
Phcs $54 195%
Preferred Community Choice $58 209%
The Kempton Group $64 231%
Multiplan $69 249%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4050 West Memorial Road, Oklahoma City, OK 73120
  • CMS Rating: ★★★★☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals