CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Lewisgale Hospital Alleghany

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $28
Cash Discount Price: $477
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Lewisgale Hospital Alleghany is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $477. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.01x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$477

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: $477 (1721%)

Insurance Median: $28 (101%)

Cash: $477 (1721% 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.

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
Triatlantic	$23	83%
Aetna	$24 - $258	87%
Devoted	$24 - $27	87%
Good Samaritan Hospice	$24 - $27	87%
Health Net	$24	87%
Humana	$24 - $27	87%
Sentara Health	$24 - $27	87%
United	$24 - $215	87%
United Behavioral Health	$24 - $27	87%
United Mine Workers	$24 - $27	87%
Blue Cross Blue Shield	$25 - $28	90%
Cigna	$25 - $28	90%
Clear Spring Health Plan	$25 - $29	90%
Virginia Premier Health	$25 - $28	90%
Align Senior Care	$26 - $29	94%
Lifeworks	$91	328%
Universal Healthcare Group	$105	379%
Virginia Health Network	$167 - $339	602%
Greenbrier Sporting Club	$173	624%
Greenvbrier Sporting Club	$286	1032%
Corvel	$343	1237%
Csx Hotels	$382	1378%
Occunet Workers Comp	$382	1378%
Health Payors Organization	$405	1461%
4Most	$429	1548%
Alleghany Highland Community	$429	1548%
American Postal Workers Union	$429	1548%
C&O Employees Hospital Assn	$429	1548%
Community Care Network	$429	1548%
Multiplan	$429	1548%
One Health Plan	$429	1548%

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 $477.
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 Lewisgale Hospital Alleghany 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.