CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Monument Health Rapid City Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $27
Cash Discount Price: $68
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Monument Health Rapid City Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 0.97x the Medicare baseline. Located in 353 Fairmont Blvd, Rapid City, SD.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $68 (245%)

Insurance Median: $27 (97%)

Cash: $68 (245% of Medicare)

Ins. Median: $27 (97% 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.

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
Minnesota Health Care Programs 12K16 [3081295]	$6 - $35	22%
Tricare	$6 - $32	22%
Health Partners Sx009 [3081102]	$13 - $71	47%
Coresource 38225 [3081146]	$14 - $78	51%
Govt Employees Health Assn [3081090]	$14 - $75	51%
National Telephone Cooperative Assn 52103 [3081149]	$14 - $75	51%
Surest [3081369]	$14 - $75	51%
United Medical Resources 39026 [3081194]	$14 - $75	51%
UnitedHealthcare	$14 - $75	51%
Avera Health Plans 46045 [3081018]	$15 - $84	54%
Medica (Commercial) 94265 [3081118]	$17 - $95	61%
Risk Admin Svs [3081167]	$17 - $91	61%
Rocky Mountain Admin Llc 83028 [3081168]	$17 - $91	61%
Employee Benefit Management 12X44 [3081079]	$18 - $97	65%
Pacificsource Health Plans [3081333]	$18 - $97	65%
Aetna	$19 - $103	69%
Group And Pension Administrators Inc [3081098]	$19 - $103	69%
Humana	$19 - $103	69%
Multiplan Inc 34080 [3081285]	$19 - $103	69%
Sanford Health Plan 91184 [3081174]	$19 - $103	69%
Allied Benefit Systems Inc [3081320]	$20 - $109	72%
Cigna	$20 - $109	72%
Fedmed Inc [3081283]	$20 - $108	72%
Key Benefit Administrators [3081332]	$20 - $109	72%
Meritain Health [3081135]	$20 - $109	72%
Midlands Choice 47080 [3081136]	$20 - $109	72%
Preferred One 41147 [3081160]	$20 - $109	72%
Tlc Advantage Llc [3081189]	$20 - $107	72%
Medicare (plans)	$21 - $27	76%
Va Black Hills Health Care System 12115 [3081206]	$21 - $27	76%
Blue Cross Blue Shield	$22 - $164	79%

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 $68.
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 Monument Health Rapid City Hospital 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.