CMS Price Transparency Data
Physical therapy (manual therapy)
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 97140 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97140
- Insurance Median: $31
- Cash Discount Price: $132
- vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Mount Sinai Rehabilitation Hospital Inc is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.12x the Medicare baseline. Located in 490 Blue Hills Ave, Hartford, CT.
Cash / Self-Pay
$132
Average discount available for prompt cash payment at this facility.
Insurance Median
$31
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: $132 (476%)
Insurance Median: $31 (112%)
Cash: $132 (476% of Medicare)
Ins. Median: $31 (112% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cenpatico | $16 | 58% |
| Screening for Life | $16 | 58% |
| Health Safety Net | $16 | 58% |
| Stephenson Cty Health | $16 | 58% |
| Cmh Bay-Arenac County | $16 | 58% |
| Ryan White Florida Mssrp | $16 | 58% |
| Cmh Monroe County | $16 | 58% |
| Texas Children's Health Plan | $16 | 58% |
| Iowa Total Care | $16 | 58% |
| Partners Behavioral Lme | $16 | 58% |
| Sandhills Center Lme | $16 | 58% |
| Oregon Screenwise | $16 | 58% |
| Tenncare | $16 | 58% |
| Cmh Wayne County/Carelink | $16 | 58% |
| Sunshine State Health Plan | $16 | 58% |
| Managed Health Services - Indiana | $16 | 58% |
| Priority Partners | $16 | 58% |
| Wi Womens Wellness | $16 | 58% |
| Bmc Healthnet | $16 | 58% |
| Indiana Breast Cervical Cancer | $16 | 58% |
| Cmh Berrien County | $16 | 58% |
| Keystone First | $16 | 58% |
| Presbyterian Centennial Care | $16 | 58% |
| Inland Empire Health Plan | $16 | 58% |
| Cigna | $16 - $120 | 58% |
| Covid19 Hrsa Uninsured Testing and Treatment Fund | $16 | 58% |
| County Coroner | $16 | 58% |
| Rx Meridian Rx | $16 | 58% |
| Aetna | $16 - $299 | 58% |
| Maryland Breast & Cervical Program | $16 | 58% |
| Hennepin Health | $16 | 58% |
| Cmh Northern Lakes County | $16 | 58% |
| Cmh Ottawa County | $16 | 58% |
| Ambetter / Centene | $16 | 58% |
| UnitedHealthcare | $16 - $224 | 58% |
| Medicaid / KanCare | $16 - $85 | 58% |
| Cmh Kalamazoo | $16 | 58% |
| Jai Medical System | $16 | 58% |
| Intercommunity Health Ohp | $16 | 58% |
| Community Benefit Health | $16 | 58% |
| Idaho Dept Health and Wellfare | $16 | 58% |
| Tufts Health Public Plans | $16 | 58% |
| Cmh Ionia County | $16 | 58% |
| Cmh Allegan County | $16 | 58% |
| Id County Cat Fund | $16 | 58% |
| Delaware County Department of Health | $16 | 58% |
| Keystone First Chip | $16 | 58% |
| Idaho Womens Health Check | $16 | 58% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $16 | 58% |
| La Care Health Plan | $16 | 58% |
| St Joseph County Hlth Dpt | $16 | 58% |
| Bccp | $16 | 58% |
| Cmh Muskegon County | $16 | 58% |
| Molina Centennial Care | $16 | 58% |
| Amish Mennonite | $16 | 58% |
| Trillium Community Ohp | $16 | 58% |
| Medstar Dc Healthy Family | $16 | 58% |
| Cmh Montcalm County | $16 | 58% |
| Paramount Advantage | $16 | 58% |
| Cmh Genesee County | $16 | 58% |
| Medi-Cal | $16 | 58% |
| Cmh Central Mi County | $16 | 58% |
| Dph Tb Program | $16 | 58% |
| Pace of Southwest Michigan | $16 - $24 | 58% |
| Cmh Oakland County | $16 | 58% |
| Wellsense Health Plan | $16 | 58% |
| Cmh Lenawee County | $16 | 58% |
| Cardinal Innovations Lme | $16 | 58% |
| Rx 340B Pass Along | $16 | 58% |
| Broward County Dept of Health | $16 | 58% |
| Cmh Jackson County/Lifeways | $16 | 58% |
| Id County Ada | $16 | 58% |
| Cmh Barry County | $16 | 58% |
| Eastpointe Lme | $16 | 58% |
| Maryland Healthy Smiles - Scion Dental | $16 | 58% |
| Cmh Wayne Cty/Com Liv Svcs | $16 | 58% |
| Medi-Cal Healthnet | $16 | 58% |
| Nebraska Total Care | $16 | 58% |
| Childrens Comm Health Plan | $16 | 58% |
| Nascentia Health Options | $16 | 58% |
| Harbor Health | $16 | 58% |
| Cmh Washtenaw County | $16 | 58% |
| Dscc | $16 | 58% |
| Breast Grant-Connecticut | $16 | 58% |
| Freedom First Healthcare | $16 | 58% |
| Cencal Health Plan | $16 | 58% |
| Rx Medi-Cal | $16 | 58% |
| Care Oregon Ohp | $16 | 58% |
| Chhuny | $16 | 58% |
| Connections Csp | $16 | 58% |
| Community Care Partners | $16 | 58% |
| Lakeland Care Inc | $16 | 58% |
| County Funding Generic | $16 | 58% |
| Massachusetts Behavioral Health Partnership | $16 | 58% |
| Care Connections of Northern Iowa | $16 | 58% |
| Childrens Medical Services Title 19 | $16 | 58% |
| Cmh West Mi County | $16 | 58% |
| Community Health Choice | $16 | 58% |
| Parkland Community Health Plan | $16 | 58% |
| Cmh North Country | $16 | 58% |
| Albany County Correctional Facility | $16 | 58% |
| New York Cancer Services Program | $16 | 58% |
| Kern Family Health Plan | $16 | 58% |
| Cmh Ausable Valley | $16 | 58% |
| Fresno County Ccs | $16 | 58% |
| Delaware First Health | $16 | 58% |
| Cmh Van Buren County | $16 | 58% |
| Community Care Behavorial Health | $16 | 58% |
| Vaya Health Lme | $16 | 58% |
| Peach State Healthplan | $16 | 58% |
| Cmh Livingston County | $16 | 58% |
| Can Community Health Inc | $16 | 58% |
| Cmh Kent County | $16 | 58% |
| Mdwise | $16 | 58% |
| Ghc Scw Wi Badgercare | $16 | 58% |
| Family Health Network | $16 | 58% |
| Cmh Misc | $16 | 58% |
| Id County Canyon | $16 | 58% |
| Mo Home State Health Plan | $16 | 58% |
| Cmh Detroit Wayne Integrated Health Network | $16 | 58% |
| Cmh Cass County | $16 | 58% |
| Prestige Health Choice | $16 | 58% |
| City of Philadelphia | $16 | 58% |
| Ascension St. Vincent Public Safety Medical | $16 | 58% |
| Id County Other | $16 | 58% |
| Bcccp-Michigan | $16 | 58% |
| Philadelphia County Funding | $16 | 58% |
| Blue Cross Blue Shield | $16 - $136 | 58% |
| Cmh Newaygo County | $16 | 58% |
| Cmh Macomb | $16 | 58% |
| Nextlevel Health | $16 | 58% |
| Humana | $16 - $24 | 58% |
| Dean Wi Badgercare | $16 | 58% |
| Healthy Blue Ne | $16 | 58% |
| Superior Health | $16 | 58% |
| California Health and Wellness | $16 | 58% |
| Cmh Clinton-Eaton-Ingham County | $16 | 58% |
| Robert F Sing Program | $16 | 58% |
| Washtenaw Health Plan | $16 | 58% |
| Id County Payette | $16 | 58% |
| Maryland Physicians Care | $16 | 58% |
| Medstar Md Health Choice | $16 | 58% |
| Veterans Eval Services | $23 | 83% |
| Champva | $23 | 83% |
| Triwest Health Alliance | $23 | 83% |
| Tricare | $23 | 83% |
| Innovative Integrated Health Community Plans | $24 | 87% |
| Lifecircles Pace | $24 | 87% |
| Gold Advantage | $24 | 87% |
| Johns Hopkins Advantage Md | $24 | 87% |
| Union Health Service | $24 | 87% |
| Welbe Health | $24 | 87% |
| Rx Retiree Rx Care | $24 | 87% |
| Provider Partners Health Plan of Indiana | $24 | 87% |
| Everence | $24 | 87% |
| Health America Advantra | $24 | 87% |
| Tribute Health Plans | $24 | 87% |
| Blue Shield - De (Highmark) Medciare Advantage | $24 | 87% |
| Medipak Advantage | $24 | 87% |
| Siouxland Pace | $24 | 87% |
| Life St Marys Pace | $24 | 87% |
| Georgia Health Advantage | $24 | 87% |
| Provider Partners Health Plan of Illinois | $24 | 87% |
| Pace Iowa Immanuel Pathways | $24 | 87% |
| Champion Health Plan McR Advantage | $24 | 87% |
| Mercyone Cedar Valley | $24 | 87% |
| Hope Select Pace | $24 | 87% |
| Elementcare | $24 | 87% |
| American Health Plan | $24 | 87% |
| Longevity IPA of Michigan LLC Health Plan Isnp | $24 | 87% |
| Careplus Health Plans | $24 | 87% |
| Texan Plus | $24 | 87% |
| Osu Prime Care Advantage | $24 | 87% |
| Nascentia Health Plus | $24 | 87% |
| Aurora Special Needs | $24 | 87% |
| American Health Advantage of Idaho | $24 | 87% |
| Lasso Healthcare Msa | $24 | 87% |
| Align Senior Care | $24 | 87% |
| Mass General Brigham McR Adv | $24 | 87% |
| Peak Pace Solutions | $24 | 87% |
| Care Dimensions | $24 | 87% |
| Thome Pace | $24 | 87% |
| Eddy Seniorcare Pace | $24 | 87% |
| Todays Options | $24 | 87% |
| Um Health Advantage | $24 | 87% |
| Iowa Health Advantage | $24 | 87% |
| Perennial Advantage | $24 | 87% |
| Serenity Pace | $24 | 87% |
| Gateway Health Plan | $24 | 87% |
| Highmark Health Options Dual Plan | $24 | 87% |
| Community Pace at Home | $24 | 87% |
| Ally Align Care Adv | $24 | 87% |
| Central Valley Medical Services Corp Pace | $24 | 87% |
| Pace-Trinity Health | $24 | 87% |
| Genesys Pace of Genesee County | $24 | 87% |
| Sunnyview-Pace Finance Dept | $24 | 87% |
| New Centry Health Careplus | $24 | 87% |
| Blue Care Network Advantage | $24 | 87% |
| Solis Health Plans | $24 | 87% |
| The Health Plan | $24 | 87% |
| Pace Southeast | $24 | 87% |
| Preferred Care Partners | $24 | 87% |
| Care Resources Pace | $24 | 87% |
| Presbyterian Senior Plan | $24 | 87% |
| Commonwealth Care Alliance | $24 - $29 | 87% |
| Gpa Croell Redi Mix | $24 | 87% |
| Reliance Community Care Partners Care Resources Pace | $24 | 87% |
| Michigan Complete Health | $24 | 87% |
| Evercare | $24 | 87% |
| Medicare (plans) | $24 - $79 | 87% |
| Care Improvement Plus | $24 | 87% |
| Rx Grane Grnmedd | $24 | 87% |
| Hudson Headwaters Pace | $24 | 87% |
| Cca - Zing Health | $24 | 87% |
| Clear Spring Health | $24 | 87% |
| Pace Cny | $24 | 87% |
| Secure Horizons Ma Pffs | $24 | 87% |
| Eddy Senior Care-Pace | $24 | 87% |
| Scan Health Plan McR IPA Meritage Oon | $24 | 87% |
| Pruitthealth Premier | $24 | 87% |
| Rx Allwin | $24 | 87% |
| Wellmed | $24 | 87% |
| Mercy Life | $24 | 87% |
| Longevity Health Plan | $24 | 87% |
| Horizon Nj Total Care | $24 | 87% |
| Meridian Complete | $24 | 87% |
| Huron Valley Pace | $24 | 87% |
| Clover Health | $24 | 87% |
| Martins Point Generations Advantage | $24 | 87% |
| Veterans Administration | $25 | 90% |
| Health New England | $26 - $135 | 94% |
| Cca Senior Care Options | $29 | 105% |
| Fallon Health | $37 - $62 | 133% |
| Wc Key Ins & Benefit Solutions | $39 | 141% |
| Genex Wc | $39 | 141% |
| Wc Massachusetts | $39 | 141% |
| Wc Mitchell Frankenmuth | $39 | 141% |
| Wc Medical Administrators | $39 | 141% |
| Wc Unified Health Services | $39 | 141% |
| Wc Praxis Health Network | $39 | 141% |
| Wc Amtrust | $39 | 141% |
| Wc Compone Admin | $39 | 141% |
| Wc General Motors | $39 | 141% |
| New York State Insurance Fund | $39 | 141% |
| Rx Heatlhcomp | $39 | 141% |
| Wc Sheakley Unicomp | $39 | 141% |
| Wc Winnebago Industries | $39 | 141% |
| Wc Meijers | $39 | 141% |
| Wc Cna | $39 | 141% |
| Wc Smile Lodge | $39 | 141% |
| Wc Federal Black Lung | $39 | 141% |
| Wc Peerless | $39 | 141% |
| Wc Asu Risk Mgt | $39 | 141% |
| Wc Rural Mutual | $39 | 141% |
| Njm Insurance Group | $39 | 141% |
| Wc Hartford | $39 | 141% |
| East Greenbush Central School District | $39 | 141% |
| Wc Advantage | $39 | 141% |
| Wc Novanet | $39 | 141% |
| Wc Sentry | $39 | 141% |
| Wc Fcci | $39 | 141% |
| Wc Genex Care for Ohio | $39 | 141% |
| Wc Michigan | $39 | 141% |
| Wc Ccmsi | $39 | 141% |
| Wc Benetech | $39 | 141% |
| Wc Secura | $39 | 141% |
| Wc Procura Management | $39 | 141% |
| Wc Employee Mutual | $39 | 141% |
| Wc Nationwide | $39 | 141% |
| Wc Icw Group | $39 | 141% |
| Wc Evolutions | $39 | 141% |
| Wc Accident Fund | $39 | 141% |
| Wc Us Dept of Labor | $39 | 141% |
| Wc Bunch & Associates | $39 | 141% |
| Wc Mac Risk Management | $39 | 141% |
| Wc North American Rishces | $39 | 141% |
| Wc Paradigm | $39 | 141% |
| Wc One Call Medical | $39 | 141% |
| Wc United Heartland | $39 | 141% |
| Jag Source | $39 | 141% |
| Wc Tristar | $39 | 141% |
| Wc Memic | $39 | 141% |
| Wc Allied | $39 | 141% |
| Wc Emc Insurance Company | $39 | 141% |
| Wc Claims Mgmt Inc | $39 | 141% |
| Wc Velocity | $39 | 141% |
| Wc Heritage Summit | $39 | 141% |
| Wc Amerisure | $39 | 141% |
| Wc City of Albany | $39 | 141% |
| Wc Hab | $39 | 141% |
| Wc Hireright | $39 | 141% |
| Wc Reny Company | $39 | 141% |
| Wc Guard Insurance Company | $39 | 141% |
| Wc Esis | $39 | 141% |
| Wc Encore Health Network | $39 | 141% |
| Wc Aig | $39 | 141% |
| Wc Northeast Health | $39 | 141% |
| Wc Meadowbrook Claim | $39 | 141% |
| Wc Quiktrip | $39 | 141% |
| Wc Intermountain | $39 | 141% |
| Wc Idaho State Ins Fund | $39 | 141% |
| Wc New York | $39 | 141% |
| Wc Gallagher Bassett | $39 | 141% |
| Wc Srs | $39 | 141% |
| Wc Capitol Area Health Consortium | $39 | 141% |
| Rx Worker's Comp | $39 | 141% |
| Wc West Bend Mutual/Argent | $39 | 141% |
| Wc Michigan Millers Mutual | $39 | 141% |
| Wc Finley Occupational Health | $39 | 141% |
| Wc Enablecomp | $39 | 141% |
| Wc Fed Ex | $39 | 141% |
| Wc Troy Ny | $39 | 141% |
| Wc Broward County | $39 | 141% |
| Wc Health Management | $39 | 141% |
| Wc Great West Casualty | $39 | 141% |
| Wc Notre Dame | $39 | 141% |
| Wc Aims | $39 | 141% |
| Wc Nca Comp | $39 | 141% |
| Wc Generic | $39 | 141% |
| Wc Rev Claims | $39 | 141% |
| Wc Berkley Admin | $39 | 141% |
| Wc Taconic (Mro) | $39 | 141% |
| Wc Occ Health Allen | $39 | 141% |
| Wc Acuity | $39 | 141% |
| Wc Am Trust N America | $39 | 141% |
| Rx Saif Opdp Wc | $39 | 141% |
| Wc American Claims Mgmt | $39 | 141% |
| Wc Ct Healthcare Trust | $39 | 141% |
| Wc Ford Motor | $39 | 141% |
| Wc Johns Eastern | $39 | 141% |
| Wc Mercy Workcare | $39 | 141% |
| Wc Pma | $39 | 141% |
| Wc Comp One Admin C/O Manageability | $39 | 141% |
| Wc Qualcare | $39 | 141% |
| Wc Donegal Insurance Group | $39 | 141% |
| Wc Zenith | $39 | 141% |
| Andrie Inc | $39 | 141% |
| Wc California State Ins Fund | $39 | 141% |
| Wc Triad Group | $39 | 141% |
| Wc New York Special Funds | $39 | 141% |
| Wc Ohio Bureau | $39 | 141% |
| Wc Chubb | $39 | 141% |
| Wc Mdia | $39 | 141% |
| Wc California State Comp Ins | $39 | 141% |
| Wc Taconic Farms | $39 | 141% |
| Wc Alaska National Ins | $39 | 141% |
| Rx Restat | $39 | 141% |
| Wc West Bend | $39 | 141% |
| Wc Tyson | $39 | 141% |
| Wc Mra | $39 | 141% |
| Healthsmart Workers Comp | $39 | 141% |
| Wc Price Chopper | $39 | 141% |
| Wc Horizon | $39 | 141% |
| Wc City of Sioux City | $39 | 141% |
| Wc Zurich | $39 | 141% |
| Wc Fresno Unified Emp | $39 | 141% |
| Wc Intercare Insurance | $39 | 141% |
| Wc Guarantee Insurance | $39 | 141% |
| Wc Sedgwick | $39 | 141% |
| Wc Hastings | $39 | 141% |
| Wc Liberty Mutual | $39 | 141% |
| Wc Align Network | $39 | 141% |
| Wc First Agency/Occunet | $39 | 141% |
| Wc Cirma | $39 | 141% |
| Wc Risico | $39 | 141% |
| Wc Erie | $39 | 141% |
| Wc Travelers | $39 | 141% |
| Wc Saif Oregon | $39 | 141% |
| Wc Kemberton | $39 | 141% |
| Wc Federated | $39 | 141% |
| Wc Chartis | $39 | 141% |
| Wc O'Hara Corp | $39 | 141% |
| Wc Acs Federal Employees | $39 | 141% |
| Wc Broadspire | $39 | 141% |
| Wc Walmart | $39 | 141% |
| Wc Yankee Trails | $39 | 141% |
| Wc York Risk | $39 | 141% |
| Wc Society | $39 | 141% |
| Wc Ace | $39 | 141% |
| Wc Aegis | $39 | 141% |
| Mass General Brigham Health Plan | $41 - $60 | 148% |
| Multiplan | $42 - $173 | 152% |
| Claimdoc | $43 - $61 | 155% |
| Innovative Health Plan II | $43 - $61 | 155% |
| Wellpoint | $47 | 170% |
| Unicare | $47 - $136 | 170% |
| Healthscope | $52 | 188% |
| Allegiance | $52 - $120 | 188% |
| Prime Health Services | $59 - $203 | 213% |
| Tufts Health Plan | $60 | 216% |
| Us Family Health Plan | $60 | 216% |
| Diversified Administrators | $61 | 220% |
| Guardian | $61 | 220% |
| First Health | $61 | 220% |
| Meritain | $61 - $299 | 220% |
| Coventry | $61 | 220% |
| Harvard Pilgrim Healthcare | $63 - $224 | 227% |
| Centivo | $67 | 242% |
| Health Smart | $72 - $216 | 260% |
| Wc Corvel | $72 | 260% |
| Connecticare | $82 - $402 | 296% |
| Delta Dental PA | $85 | 307% |
| Delta Dental Ga | $85 | 307% |
| Liberty Dental | $85 | 307% |
| Delta Dental Wa | $85 | 307% |
| Delta Dental Ny | $85 | 307% |
| Delta Dental VA | $85 | 307% |
| Delta Dental Nj | $85 | 307% |
| Delta Dental Oh | $85 | 307% |
| Delta Dental Mo | $85 | 307% |
| Delta Dental Mi | $85 | 307% |
| Delta Dental Or | $85 | 307% |
| Connecticut Dept of Correction | $104 - $110 | 375% |
| Magnacare | $120 | 433% |
| Health Partners | $120 | 433% |
| Health Choices | $136 | 491% |
| Blue Shield - Ny Highmark Northeastern | $136 | 491% |
| Blue Shield - Wa (Regence) | $136 | 491% |
| Wc Domestic | $136 | 491% |
| Kaiser Domestic | $136 | 491% |
| Blue Shield - Ca | $136 | 491% |
| Bcn Domestic | $136 | 491% |
| Blue Shield - PA (Highmark) | $136 | 491% |
| Blue Benefit Administrators of Massachusetts | $136 | 491% |
| Blue Care Network | $136 | 491% |
| Blue Distinction Transplant | $136 | 491% |
| Blue Shield - Ny Highmark Western | $136 | 491% |
| Blue Shield - Id (Regence) | $136 | 491% |
| Pre-Employment | $136 | 491% |
| International Benefit Administrators | $163 - $173 | 588% |
| Dean Health | $163 - $173 | 588% |
| Christian Care Ministry | $163 - $173 | 588% |
| Manhattan Life | $163 - $173 | 588% |
| Medi Share | $163 - $173 | 588% |
| Allied National Global Care | $163 - $173 | 588% |
| Trinity Health Share | $163 - $173 | 588% |
| Asrm - Reliance Standard Life Insurance | $163 - $173 | 588% |
| Lifetime Benefit Solutions | $163 - $173 | 588% |
| Paramount HMO | $163 - $173 | 588% |
| Pan-American Life | $163 - $173 | 588% |
| Mvp | $163 - $173 | 588% |
| Family Life Insurance Company | $163 - $173 | 588% |
| Pai | $163 - $173 | 588% |
| PHCS | $163 - $173 | 588% |
| Ghc Scw | $163 - $173 | 588% |
| Geha | $224 | 808% |
| 1199 National Benefit Fund | $299 | 1079% |
| Luminare Health | $299 | 1079% |
| Hap | $299 | 1079% |
| Allied Benefit Systems | $299 | 1079% |
| Nippon Life Ins | $299 | 1079% |
| Gravie Admin Services | $299 | 1079% |
| Webtpa | $299 | 1079% |