CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: St Clair Hospital

Billing Code: 97140 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$27
about 1.0× the $28 Medicare rate · typically $26–$34
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $28 Fair price $27 This hospital $29 Cash price $24 Hospital's list price $98

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $19 Priciest $29

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

A fair price for a Physical therapy (manual therapy) is about $27 (about 1.0× the $28 Medicare rate). St Clair Hospital charges insurers about $29, or about $24 in cash — about the fair price. Located in Pittsburgh, PA.

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 $27 - $29 97%
Blue Cross Blue Shieldmajor $24 - $53 87%
Aetnamajor $27 - $71 97%
Cignamajor $28 - $125 101%
Humanamajor $27 97%
AmeriHealth $27 97%
Geisinger $27 97%
HealthPartners $28 101%
UPMC Health Plan $15 - $53 54%
+ 3 smaller / regional plans $28 - $64

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Facility Profile & Credentials

  • Address: 1000 Bower Hill Road, Pittsburgh, PA 15243
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals