CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Lewisgale Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $458
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Lewisgale Medical Center is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $458. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.
Cash / Self-Pay
$458

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $458 (1652%)
Insurance Median: $29 (105%)
Cash: $458 (1652% of Medicare)
Ins. Median: $29 (105% 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
Triatlantic $23 83%
Health Net $24 87%
Aetna $25 - $28 90%
Devoted $25 - $28 90%
Good Samaritan Hospice $25 - $28 90%
Humana $25 - $28 90%
Sentara Health $25 - $28 90%
United $25 - $206 90%
United Behavioral Health $25 - $28 90%
United Mine Workers $25 - $28 90%
Virginia Premier Health $25 - $29 90%
Blue Cross Blue Shield $26 - $29 94%
Cigna $26 - $80 94%
Clear Spring Health Plan $26 - $30 94%
Evernorth Behavioral Health $26 - $29 94%
Align Senior Care $27 - $30 97%
Pyramid Life $27 - $30 97%
Lifeworks $87 314%
Universal Healthcare Group $101 364%
Virginia Health Network $160 - $325 577%
Greenbrier Sporting Club $166 599%
Naphcare $229 826%
Greenvbrier Sporting Club $275 992%
Graham-White Manufacturing $321 1158%
Richfield Nursing Center $321 1158%
Corvel $330 1190%
Community Care Network $344 1241%
Richfield Retirement Community $344 1241%
Csx Hotels $366 1320%
Occunet Workers Comp $366 1320%
One Health Plan $366 1320%
Patients Choice $403 1454%
4Most $412 1486%
Alleghany Highland Community $412 1486%
American Postal Workers Union $412 1486%
C&O Employees Hospital Assn $412 1486%
Multiplan $412 1486%
Phcs $412 1486%
Star Transportation $412 1486%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Electric Road, Salem, VA 24153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals