CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Trios Health

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $48
Cash Discount Price: $64
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Trios Health is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.73x the Medicare baseline. Located in 3780 Plaza Way, Kennewick, WA.

Cash / Self-Pay

$64

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $64 (231%)

Insurance Median: $48 (173%)

Cash: $64 (231% of Medicare)

Ins. Median: $48 (173% 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
Community Health Plan Of Washington	$16	58%
Coordinated Care Of Washington Inc	$16	58%
Molina Healthcare Of Washington	$16 - $21	58%
Wellpoint Washington, Inc.	$16	58%
UnitedHealthcare	$18 - $136	65%
Humana	$22	79%
Blue Cross Blue Shield	$26	94%
Lifewise Health Plan Of Wa	$28	101%
Kfhp Of Wa Options, Inc	$56	202%
Regence Blueshield	$62	224%
Government Employees Health Association	$74	267%
Cigna	$110	397%
Asuris Northwest Health	$136	491%
Aetna	$151 - $227	545%

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 $64.
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 Trios Health 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.