Physical therapy (manual therapy)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $60
- Cash Discount Price: $125
- vs. Medicare Baseline: 2.16x 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 216% of the Medicare baseline (a markup of 116%). 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 |
|---|---|---|
| Aetna | $19 - $26 | 69% |
| Healthy Blue Kansas | $22 - $26 | 79% |
| Medicaid / KanCare | $22 - $81 | 79% |
| United | $22 - $115 | 79% |
| United Community Of Missouri | $23 | 83% |
| Healthy Blue Missouri | $23 | 83% |
| Home State Health Plan | $23 | 83% |
| Ilumed Aco Reach | $26 | 94% |
| Blue Cross Blue Shield | $26 - $75 | 94% |
| Humana | $26 | 94% |
| Velocity | $31 - $93 | 112% |
| Prime Health Services | $34 - $106 | 123% |
| Missouri Healthnet | $34 | 123% |
| Americas Choice Provider Network | $87 | 314% |
| Usa Managed Care Organization | $93 | 335% |
| Quiktrip Corporation | $93 | 335% |
| Provider Network Of America | $93 | 335% |
| Multiplan-Phcs | $100 | 361% |
| Cigna | $104 | 375% |
| Medincrease | $112 | 404% |
| Providrs Care | $115 | 415% |
Consumer Guidance & Cost Commentary
For the CPT code 97140, representing physical therapy with manual therapy, the cash price at the Rehabilitation Hospital Of Overland Park is $125.00. While this cash rate matches the facility's cash median, it is significantly higher than the state average for this service, which is $27.72. Patients with high-deductible plans or those who have already met their out-of-pocket limits may find that paying the cash price is more affordable than using insurance, as commercial negotiated rates for this procedure can range from $19 to $115 depending on the payer. It is important to note that while insurance contracts set a ceiling on what payers will reimburse, these negotiated amounts often include administrative overhead and do not necessarily reflect the lowest possible cost for the patient.
Before scheduling, patients should verify their specific plan's negotiated rate and check for "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront. Although the facility is a Part A provider with a Medicare benchmark of $27.72, commercial rates vary widely across 21 different payers, with some networks like Americas Choice Provider Network charging $87 and others like Prime Health Services charging up to $106. To avoid unexpected costs, consumers should request an itemized bill before payment and ensure they are not signing away rights to dispute balance billing, as federal protections exist for out-of-network services at in-network facilities. Always confirm the exact allowed amount with the hospital's billing department prior to treatment to ensure you are comparing apples to apples.