CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $93
Cash Discount Price: $92
vs. Medicare Baseline: 3.35x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Marshfield Medical Center - Rice Lake is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 3.35x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$92

Average discount available for prompt cash payment at this facility.

Insurance Median

$93

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: $92 (332%)

Insurance Median: $93 (335%)

Cash: $92 (332% of Medicare)

Ins. Median: $93 (335% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 335% of the Medicare baseline (a markup of 235%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Family Health Center (Fhc)	$48	173%
Amish/Mennonite	$53	191%
Sanford Health Plan	$53	191%
Group Health Cooperative Of Eau Claire	$80 - $93	289%
UnitedHealthcare	$80	289%
Molina Healthcare Of Wi	$82	296%
Besse Forest Products	$92	332%
Cigna	$92	332%
Corvel	$92	332%
First Health	$92	332%
Health Partners	$92	332%
Healtheos By Multiplan Inc.	$92	332%
Rice Lake School District	$92	332%
The Alliance	$92 - $186	332%
Coventry	$93	335%
Health Smart	$93	335%
Medica Of Wi	$93 - $94	335%
Trilogy	$93	335%
Rising Medical Work Comp	$94	339%
Three Rivers Provider Network (Trpn)	$95	343%
Wps Health Insurance	$95	343%
Security Health Plan (Shp)	$127 - $173	458%
Blue Cross Blue Shield	$228 - $266	823%

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 $92.
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 Marshfield Medical Center - Rice Lake 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.