CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Henrico Doctors' Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $358
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Henrico Doctors' Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $358. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 1602 Skipwith Road, Richmond, VA.
Cash / Self-Pay
$358

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: $358 (1291%)
Insurance Median: $29 (105%)
Cash: $358 (1291% 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%
Humana $25 - $28 90%
Sentara Health $25 - $28 90%
United $25 - $166 90%
United Behavioral Health $25 - $28 90%
UnitedHealthcare $25 - $29 90%
Virginia Premier Health $25 - $29 90%
Cigna $26 - $29 94%
Clear Spring Health Plan $26 - $30 94%
Davita Village Health $26 - $29 94%
Evernorth Behavioral Health $26 - $29 94%
Align Senior Care $27 - $30 97%
Johns Hopkins $27 97%
Pyramid Life $27 - $30 97%
Bright Health $56 - $59 202%
Oscar $59 - $63 213%
Lifeworks $66 - $70 238%
Universal Healthcare Group $76 - $81 274%
Virginia Health Network $121 - $239 437%
Greenvbrier Sporting Club $208 - $221 750%
Corvel $250 - $265 902%
Occunet Workers Comp $278 - $294 1003%
4Most Health Nework $312 - $331 1126%
Multiplan $312 - $331 1126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1602 Skipwith Road, Richmond, VA 23229
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals