Physical therapy (manual therapy)
Facility: Johnson Memorial Hospital
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $154
- Cash Discount Price: $130
- vs. Medicare Baseline: 5.56x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 556% of the Medicare baseline (a markup of 456%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cca Senior Care Options | $29 | 105% |
| Medicare (plans) | $29 - $30 | 105% |
| Blue Cross Blue Shield | $29 - $109 | 105% |
| Aetna | $29 - $185 | 105% |
| UnitedHealthcare | $29 - $369 | 105% |
| Cigna | $30 - $216 | 108% |
| Fallon Health | $38 | 137% |
| Claimdoc | $61 | 220% |
| Innovative Health Plan II | $61 | 220% |
| Diversified Administrators | $61 | 220% |
| Centivo | $68 | 245% |
| Connecticut Dept of Correction | $80 | 289% |
| Wellpoint | $109 | 393% |
| Blue Shield - Ny Highmark Western | $109 | 393% |
| Blue Shield - Ca | $109 | 393% |
| Blue Benefit Administrators of Massachusetts | $109 | 393% |
| Blue Care Network | $109 | 393% |
| Health Choices | $109 | 393% |
| Blue Shield - Ny Highmark Northeastern | $109 | 393% |
| Blue Shield - PA (Highmark) | $109 | 393% |
| Blue Distinction Transplant | $109 | 393% |
| Blue Shield - Wa (Regence) | $109 | 393% |
| Blue Shield - Id (Regence) | $109 | 393% |
| Wc Domestic | $109 | 393% |
| Kaiser Domestic | $109 | 393% |
| Bcn Domestic | $109 | 393% |
| Unicare | $109 | 393% |
| Pre-Employment | $109 | 393% |
| Health New England | $154 | 556% |
| Meritain | $185 | 667% |
| Webtpa | $185 | 667% |
| 1199 National Benefit Fund | $185 | 667% |
| Nippon Life Ins | $185 | 667% |
| Luminare Health | $185 | 667% |
| Hap | $185 | 667% |
| Gravie Admin Services | $185 | 667% |
| Allied Benefit Systems | $185 | 667% |
| Prime Health Services | $190 | 685% |
| Family Life Insurance Company | $197 | 711% |
| Ghc Scw | $197 | 711% |
| Pai | $197 | 711% |
| Christian Care Ministry | $197 | 711% |
| PHCS | $197 | 711% |
| Allied National Global Care | $197 | 711% |
| Manhattan Life | $197 | 711% |
| Mvp | $197 | 711% |
| Asrm - Reliance Standard Life Insurance | $197 | 711% |
| Paramount HMO | $197 | 711% |
| Lifetime Benefit Solutions | $197 | 711% |
| Pan-American Life | $197 | 711% |
| Trinity Health Share | $197 | 711% |
| Dean Health | $197 | 711% |
| Medi Share | $197 | 711% |
| International Benefit Administrators | $197 | 711% |
| Multiplan | $197 | 711% |
| Health Smart | $201 | 725% |
| Allegiance | $216 | 779% |
| Health Partners | $216 | 779% |
| Magnacare | $216 | 779% |
| United Behavioral Health Eap | $237 | 855% |
| Connecticare | $242 - $314 | 873% |
| Geha | $369 | 1331% |
| Harvard Pilgrim Healthcare | $369 | 1331% |