CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Brattleboro Memorial Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $53
Cash Discount Price: $88
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Brattleboro Memorial Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.91x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $88 (317%)

Insurance Median: $53 (191%)

Cash: $88 (317% of Medicare)

Ins. Median: $53 (191% 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
Amerihealth-Caritas	$24	87%
Blue Cross Blue Shield	$24 - $114	87%
New Hampshire Healthy Families	$24	87%
Wellsense	$24 - $29	87%
Cigna	$27 - $120	97%
Harvard Pilgrim Health Care	$27 - $110	97%
Humana	$27	97%
Martin'S Point	$27	97%
Mvp Healthcare	$27 - $114	97%
UnitedHealthcare	$27 - $120	97%
New Hampshire Healthy Families (Wellcare)	$28	101%
Vermont Health Plan	$29 - $113	105%
Multiplan	$32 - $123	115%
Tufts Health Plan	$70 - $116	253%
Aetna	$123	444%
Coventry	$123	444%
Health New England	$123	444%

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 $88.
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 Brattleboro Memorial 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.