CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Mid-Columbia Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $71
Cash Discount Price: $54
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Mid-Columbia Medical Center is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 2.56x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $54 (195%)

Insurance Median: $71 (256%)

Cash: $54 (195% of Medicare)

Ins. Median: $71 (256% 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 256% of the Medicare baseline (a markup of 156%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$28 - $362	101%
Community Hp Mcr Adv - All Plans	$28	101%
Healthnet Mcr Adv	$28	101%
Moda Mcr Adv	$28	101%
Molina Mcr Adv	$28	101%
Tricare	$28	101%
Va Ccn Triwest - All Plans	$28	101%
Humana	$29	105%
Molina - All Other Plans	$30	108%
Employee Health Plan - All Plans	$50	180%
Norocor - All Plans	$57	206%
Amerigroup Mcaid - All Plans	$59	213%
Coordinated Care Mcaid - All Plans	$59	213%
Molina Mcaid	$59	213%
UnitedHealthcare	$59 - $108	213%
Moda Health Plan - All Other Plans	$75	271%
Healthscape - All Plans	$91	328%
First Health - All Plans	$101	364%
Coventry - All Plans	$102	368%
Pacific Source - All Plans	$104	375%
Aetna	$105	379%
Cigna	$107	386%
First Choice - All Plans	$108	390%
Multiplan/Phcs - All Plans	$108	390%
Providence Ppo - All Plans	$108	390%
Trpn - Three Rivers - All Plans	$108	390%
Ahp - Americas Hlth Plan - All Plans	$110	397%
Devoted Mcr Adv - All Plans	$122	440%

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 $54.
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 Mid-Columbia 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.