CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Door County Medical Center

Billing Code: 97140 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$65
about 2.3× the $28 Medicare rate · typically $28–$154
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
Below the fair price — a good deal
about $15 under the fair price · 1.8× Medicare
Medicare pays $28 Fair price $65 This hospital $50 Cash price $115 Hospital's list price $153

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 $50

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 $65 (about 2.3× the $28 Medicare rate). Door County Medical Center charges insurers about $50, or about $115 in cash — below the fair price — a good deal. Located in Sturgeon Bay, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $26 - $52 94%
Blue Cross Blue Shieldmajor $50 - $52 180%
Aetnamajor $50 - $52 180%
Cignamajor $50 180%
Humanamajor $49 - $50 177%
HealthPartners $49 - $51 177%
+ 3 smaller / regional plans $60 - $147
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 323 South 18Th Avenue, Sturgeon Bay, WI 54235
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals