CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: The Hospital at Westlake Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $28
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at The Hospital at Westlake Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.01x the Medicare baseline. Located in 5656 Bee Caves Road, Suite M-302, Austin, TX.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $30 (108%)
Insurance Median: $28 (101%)
Cash: $30 (108% of Medicare)
Ins. Median: $28 (101% 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
Blue Cross Blue Shield $23 - $44 83%
Aetna $26 - $28 94%
Ambetter / Centene $28 101%
Edhp $28 101%
Humana $28 - $120 101%
Mcr_United $28 101%
Medicare (plans) $28 101%
Sendero $28 101%
Tricare $28 101%
Triwest $28 101%
Wellcare $28 101%
Medicaid / KanCare $29 105%
90_Degree_Benefits $41 148%
Superior_Mcd $83 299%
Scott_And_White $101 364%
United_Healthcare $105 379%
Cigna $120 433%
Multiplan $120 433%
Beech_Street $129 465%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5656 Bee Caves Road, Suite M-302, Austin, TX 78746
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals