CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: SSM Health St Agnes Hospital-Fond Du Lac

Billing Code: 97140 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$28
about 1.0× the $28 Medicare rate · typically $27–$45
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $28 Fair price $28 This hospital $27 Cash price $68 Hospital's list price $124

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $24 Priciest $27

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (manual therapy) is about $28 (about 1.0× the $28 Medicare rate). SSM Health St Agnes Hospital-Fond Du Lac charges insurers about $27, or about $68 in cash — about the fair price. Located in Fond Du Lac, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $27 97%
Molina $20 72%
WellCare $27 97%
+ 1 smaller / regional plan $52

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Facility Profile & Credentials

  • Address: 430 E Division St, Fond Du Lac, WI 54935
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals