Physical therapy (manual therapy)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $167
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 6.02x 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 602% of the Medicare baseline (a markup of 502%). 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 |
|---|---|---|
| Americhoice | $29 | 105% |
| UnitedHealthcare | $29 - $158 | 105% |
| Wellcare | $31 | 112% |
| Horizon | $31 - $156 | 112% |
| Self Pay | $33 | 119% |
| Devoted Health Plan | $37 | 133% |
| Global Exchange Managed Care | $53 | 191% |
| Amerigroup | $58 | 209% |
| Health Partners Plan | $71 | 256% |
| Magnacare | $89 - $201 | 321% |
| Cigna | $94 - $112 | 339% |
| Aetna | $108 - $168 | 390% |
| Great West Life | $112 | 404% |
| Evernorth | $112 | 404% |
| Qualcare Commercial | $112 | 404% |
| Amerihealth | $143 - $187 | 516% |
| Active Care Plus | $145 | 523% |
| Qualcare Wc | $145 | 523% |
| Mutual of Omaha | $145 | 523% |
| First McO | $145 | 523% |
| Consumer Health Network (Chn) | $156 - $201 | 563% |
| Donio Trucking | $156 | 563% |
| Oxford | $167 | 602% |
| Devon/ Ullicare | $167 | 602% |
| Coventry Health Care | $178 | 642% |
| Private Healthcare System (PHCS) | $178 | 642% |
| Blue Cross Blue Shield | $183 | 660% |
| Health South | $190 | 685% |
| Prime Health Services | $190 | 685% |
| Three Rivers Provider Network (Trpn) | $190 | 685% |
| Metrahealth of Nj | $190 | 685% |
| Health Payors Org | $190 | 685% |
| Multiplan | $201 | 725% |
| Intergroup Preferred Program | $201 | 725% |
| Beech Street | $201 | 725% |
| Active Care Nj Pip | $201 | 725% |
| Metracomp | $201 | 725% |
| Provider Select, Inc | $201 | 725% |
| Health Network Inc | $201 | 725% |
| Choice Care | $201 | 725% |
| Galaxy Health Network | $201 | 725% |
| McS Commercial | $201 | 725% |
| Department of Corrections | $201 | 725% |
| Atlantis Health Plan | $206 | 743% |
| Master Care Inc | $206 | 743% |
| Advance Healthcare System | $212 | 765% |
| Community Care Network | $212 | 765% |
| McSi/Mrsi Worker's Comp | $212 | 765% |
| National Health Plan | $212 | 765% |
| McSi/Mrsi No Fault | $212 | 765% |
| Health Network America | $212 | 765% |