Physical therapy (manual therapy)
Facility: Salina Regional Health Center
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $100
- Cash Discount Price: $89
- vs. Medicare Baseline: 3.61x 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 361% of the Medicare baseline (a markup of 261%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $53 - $56 | 191% |
| Preferred Phsic | $67 - $86 | 242% |
| Preferred Healthcare - All Other Plans | $90 - $116 | 325% |
| Multiplan (Mpi)-All Plans | $100 - $129 | 361% |
| Aetna | $100 - $129 | 361% |
| Cigna | $100 - $129 | 361% |
| Providers Care (Wppa)-All Plans | $100 - $129 | 361% |
Consumer Guidance & Cost Commentary
For the CPT code 97140, representing physical therapy with manual therapy, Salina Regional Health Center in Salina, KS, lists a cash median of $89.00 and a median negotiated rate of $100.00. This cash price is notably lower than the facility's Medicare benchmark of $27.72, which serves as the federal baseline for healthcare costs. While commercial payers negotiate rates ranging from $53 to $129 depending on the specific plan, patients should be aware that cash payments can sometimes result in lower out-of-pocket costs if their insurance deductible has not yet been met or if the negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
The facility, a voluntary non-profit acute care hospital, reports a facility rating of 3 and is located in zip code 67401. When evaluating the cost of this service, it is important to compare the facility's rates against local averages rather than the inflated chargemaster list price, as commercial rates often average 200% to 300% of Medicare, whereas fair pricing typically falls between 120% and 150%. To ensure you are receiving the best possible rate, verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly by carrier. If you receive a bill that includes charges for services not rendered or unbundled components, request a formal itemized audit to identify any errors before making a payment.