CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Penn Medicine | Good Shepherd Rehabilitation

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $35
  • Cash Discount Price: $150
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Penn Medicine | Good Shepherd Rehabilitation is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.26x the Medicare baseline. Located in 1800 Lombard St, Fifth Floor, Philadelphia, PA.
Cash / Self-Pay
$150

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $150 (541%)
Insurance Median: $35 (126%)
Cash: $150 (541% of Medicare)
Ins. Median: $35 (126% 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
Humana $27 - $29 97%
Blue Cross Blue Shield $28 - $47 101%
Choice Care $28 101%
Cigna $28 - $151 101%
Clover Health $28 101%
Geisinger Commercial $28 - $44 101%
Highmark Wholecare $28 101%
Keystone First $28 - $51 101%
Medicare (plans) $28 101%
PA Health & Wellness $28 - $35 101%
Imagine $49 177%
UnitedHealthcare $49 - $190 177%
Preferred Health Care $75 271%
Aetna $89 321%
Prime Health $127 458%
Devon Health $146 527%
Multiplan $146 527%
Highmark Sepa $206 743%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Lombard St, Fifth Floor, Philadelphia, PA 19146
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL