CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Good Samaritan Hospital of Suffern

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $225
Cash Discount Price: $532
vs. Medicare Baseline: 8.12x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Good Samaritan Hospital of Suffern is $225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $532. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 8.12x the Medicare baseline. Located in 255 Lafayette Avenue, Suffern, NY.

Cash / Self-Pay

$532

Average discount available for prompt cash payment at this facility.

Insurance Median

$225

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: $532 (1919%)

Insurance Median: $225 (812%)

Cash: $532 (1919% of Medicare)

Ins. Median: $225 (812% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 812% of the Medicare baseline (a markup of 712%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Mvp Gold (McR)	$31	112%
Medicare (plans)	$31 - $34	112%
Hamaspik (McR)	$31	112%
Tricare	$31	112%
Affinity By Molina McR	$33	119%
Beacon Exchange	$38	137%
Beacon Commercial	$41	148%
Geisinger Health Commercial/Exchange	$104	375%
Self-Pay - Cc 30%	$160	577%
Emblem Select Care (Exchange)	$163	588%
Blue Cross Blue Shield	$175 - $1,082	631%
Emblem Ghi/Hip PPO	$192	693%
Emblem Ghi/Hip Hmo/Epo/Pos	$192	693%
UnitedHealthcare	$193 - $244	696%
Self-Pay	$194	700%
Oxford	$205 - $222	740%
Oxford Exchange	$207	747%
Emblem	$230 - $270	830%
Oxford Commercial	$238	859%
Mvp	$243 - $286	877%
Mvp Exchange	$252	909%
Cdphp	$266	960%
Self-Pay - Cc 50%	$266	960%
Mvp Hmo/Ppo	$297	1071%
Aetna	$339 - $377	1223%
Cigna	$372	1342%
Magnacare Standard	$372	1342%
Magnacare	$390	1407%
Multiplan	$399	1439%
PHCS	$399	1439%
Magnacare Preferred	$413	1490%
First Health	$452	1631%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $532.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97140.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Good Samaritan Hospital of Suffern is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97140.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.